European Radiology

, Volume 17, Issue 1, pp 211–219 | Cite as

Multislice CT enteroclysis in the diagnosis of bowel endometriosis

  • Ennio Biscaldi
  • Simone Ferrero
  • Ezio Fulcheri
  • Nicola Ragni
  • Valentino Remorgida
  • Gian Andrea Rollandi
Gastrointestinal

Abstract

This prospective study aims to evaluate the efficacy of multislice computed tomography combined with colon distension by water enteroclysis (MSCTe) in determining the presence and depth of bowel endometriotic lesions. Ninety-eight women with symptoms suggestive of colorectal endometriosis underwent MSCTe; locations, number of nodule/s, size of the nodule/s and depth of bowel wall infiltration were determined. Independently from the findings of MSCTe, all women underwent laparoscopy. MSCTe findings were compared with surgical and histological results. Abnormal findings suggestive of bowel endometriotic nodules were detected by MSCTe in 75 of the 76 patients with bowel endometriosis. MSCTe identified 110 (94.8%) of the 116 bowel endometriotic nodules removed at surgery; 6 nodules missed at MSCTe were located on the rectum. MSCTe correctly determined the degree of infiltration of the bowel wall in all of the 34 serosal bowel nodules identified at MSCTe. In six nodules reaching the submucosa, the depth of infiltration was underestimated by MSCTe. MSCTe had a sensitivity of 98.7%, a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 95.7% in identifying women with bowel endometriosis. MSCTe is effective in determining the presence and depth of bowel endometriotic lesions.

Keywords

Bowel endometriosis Diagnosis Multislice computed tomography Water enteroclysis 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Ennio Biscaldi
    • 1
  • Simone Ferrero
    • 2
  • Ezio Fulcheri
    • 3
  • Nicola Ragni
    • 2
  • Valentino Remorgida
    • 2
  • Gian Andrea Rollandi
    • 1
  1. 1.Department of Radiology“Duchesse of Galliera”-HospitalGenoaItaly
  2. 2.Department of Obstetrics and GynaecologySan Martino Hospital and University of GenoaGenoaItaly
  3. 3.Di.C.M.I., Unit of Anatomy and HistopathologySan Martino Hospital and University of GenoaGenoaItaly
  4. 4.GenoaItaly

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