Rectosigmoid Endometriosis: Endoscopic Ultrasound Features and Clinical Implications

Roseau, G.; Dumontier, I.; Palazzo, L.; Chapron, Charles; Dousset, B.; Chaussade, Stanislas; Dubuisson, Jean‐Bernard; Couturier, Daniel

doi:10.1055/s-2000-9008

Cited by 128 publications

(78 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Few data are available on the accuracy of endoscopic TRS for the diagnosis of uterosacral involvement. Roseau et al 18 reported that all such cases were accurately diagnosed using this imaging technique. However, Bazot et al 9 found that endoscopic TRS with high-frequency probes was less accurate for the diagnosis of uterosacral ligament involvement than was TVS with low-frequency probes that increase ultrasound penetration.…”

Section: Discussionmentioning

confidence: 93%

“…Various imaging techniques have been used to diagnose endometriosis and to evaluate its extension in specific pelvic locations, such as the uterosacral ligaments, rectosigmoid, rectovaginal septum and bladder, with variable results 5,7,17,18 . In our experience, the sensitivity of TVS for the diagnosis of uterosacral ligament involvement is relatively low (70.6%).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Bazot

Thomassin

Hourani

et al. 2004

Ultrasound in Obstet & Gyne

295

275

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Bazot

Thomassin

Hourani

et al. 2004

Ultrasound in Obstet & Gyne

295

275

View full text Add to dashboard Cite

show abstract

“…Under these circumstances, the development of EUS has provided a brand new dimension in the diagnosis of colorectal lesions [5][6][7][8][9][10][11] . EUS can image the entire structure of the colonic wall which corresponds to the histologic layer structure.…”

Section: Discussionmentioning

confidence: 99%

Role of endoscopic miniprobe ultrasonography in diagnosis of submucosal tumor of large intestine

Zhou

Yao²,

Zhong³

et al. 2004

WJG

View full text Add to dashboard Cite

AIM:To evaluate the role of miniprobe ultrasonography under colonoscope in the diagnosis of submucosal tumor of the large intestine, and to determine its imaging characteristics. METHODS:Thirty-five patients with submucosal tumors of the large intestine underwent miniprobe ultrasonography under colonoscope. The diagnostic results of miniprobe ultrasonography were compared with pathological findings of specimens by biopsy and surgical resection. RESULTS:Lipomas were visualized as hyperechoic homogeneous masses located in the submucosa with a distinct border. Leiomyomas were visualized as hypoechoic homogeneous mass originated from the muscularis propria. Leiomyosarcomas were shown with inhomogeneous echo and irregular border. Carcinoids were presented as submucosal hypoechoic masses with homogenous echo and distinct border. Lymphangiomas were shown as submocosal hypoechoic masses with cystic septal structures. Malignant lymphomas displayed as hypoechoic masses from mucosa to muscularis propria, while pneumatosis cystoids intestinalis originated from submucosa with a special sonic shadow. One large leiomyoma was misdiagnosed as leiomyosarcoma. CONCLUSION:Endoscopic miniprobe ultrasonography can provide precise information about the size, layer of origin, border of submucosal tumor of the large intestine and has a high accuracy in the diagnosis of submucosal tumor of the large intestine. Pre-operative miniprobe ultrasonography under colonoscope may play an important role in the choice of therapy for submucosal tumor of the large intestine.Zhou PH, Yao LQ, Zhong YS, He GJ, Xu MD, Qin XY. Role of endoscopic miniprobe ultrasonography in diagnosis of submucosal tumor of large intestine.

show abstract

“…Recto-sigmoid endometriosis may produce nonspecific symptoms such as diarrhea, rectal bleeding, and abdominal colic-like pain. This condition may require open surgery, and when the colon serosa is involved, meticulous dissection is required (3,4). Therefore, accurate preoperative imaging of recto-sigmoid involvement is important.…”

mentioning

confidence: 99%

MRI and “Tenderness Guided” transvaginal ultrasonography in the diagnosis of recto‐sigmoid endometriosis

Saba

Guerriero

Sulcis

et al. 2011

Magnetic Resonance Imaging

View full text Add to dashboard Cite

Purpose: To compare the diagnostic accuracy of MRI and ''tenderness-guided'' transvaginal ultrasonography (tg-TVUS) in the identification of recto-sigmoid endometriosis. Materials and Methods:Institutional Review Board approval for this study was obtained, and written informed consent was given by all patients. This study is compliant with the STARD (Standards for Reporting of Diagnostic Accuracy) method. Fifty-nine patients (mean age, 33 years; range, 21-44 years) with clinical suspicion of deep pelvic endometriosis were prospectively enrolled. They underwent tg-TVUS and MRI before surgery. The characteristics of the MRI signal were analyzed. Mapping of recto-sigmoid endometriosis was performed and tg-TVUS and MR imaging results were compared with surgical and pathological findings. Sensitivity, specificity, and the positive and negative likelihood ratio (LRþ and LRÀ) were calculated. Inter-technique concordance was assessed using the Cohen statistic, and receiver operating characteristic (ROC) curves were obtained. Logistic regression analysis was performed.Results: The prevalence of recto-sigmoid endometriosis was 51%. The specificity, sensitivity, and LRþ and LRÀ were 90%, 73%, 7.089 and 0.297, respectively, for MRI and 86%, 73%, 5.317 and 0.309, respectively, for tg-TVUS. The presence of a high T1 signal spot was an excellent specific finding (100%) but was associated with a low sensitivity (30%). Inter-technique concordance using the Cohen statistic indicated a kappa value of 0.658 (6 0.098 SD). According to the logistic regression equation obtained, the use of both tg-TVUS and MRI allows optimal diagnostic performance.Conclusion: MRI and tg-TVUS show similar results in the identification of recto-sigmoid endometriosis. The Cohen kappa value suggests that these methods may have complementary roles in the identification of recto-sigmoid endometriosis, depending on the site affected.

show abstract

Rectosigmoid Endometriosis: Endoscopic Ultrasound Features and Clinical Implications

Abstract: EUS is a simple and noninvasive technique capable of correctly diagnosing rectal wall infiltration in deep pelvic endometriosis. It may be helpful in determining the choice between laparoscopy and laparotomy when complete resection is indicated.

Cited by 128 publications

References 16 publications

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Role of endoscopic miniprobe ultrasonography in diagnosis of submucosal tumor of large intestine

MRI and “Tenderness Guided” transvaginal ultrasonography in the diagnosis of recto‐sigmoid endometriosis

Contact Info

Product

Resources

About