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Non-enhanced Transvaginal Ultrasonography

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Clinical Management of Bowel Endometriosis

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Abstract

Transvaginal ultrasonography (TVS) is crucial to provide a correct informed consent, select the appropriate surgical team and assess the surgical complexity. The ultrasonographic findings of rectosigmoid deep infiltrating endometriosis (DIE) are the presence of an irregular hypoechoic nodule in the anterior wall of rectosigma. A pooled sensitivity and specificity of ultrasonography (TVS) in detecting DIE in the rectosigma of 91% and 97%, respectively, is reported. The learning curve for this kind of diagnosis is not so complex and the use of some ultrasonographic “soft markers” as presence of ultrasonographic signs of uterine adenomyosis, presence of an endometrioma, adhesions of the ovary to the uterus, presence of “kissing ovaries,” and absence of sliding sign can suggest an increased risk of presence of rectosigmoid endometriosis. The magnetic resonance has similar result in term of accuracy in comparison with transvaginal ultrasonography for this location.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Policlinico Universitario Duilio Casula, University of Cagliari, Cagliari, Italy

    Stefano Guerriero, Silvia Ajossa, Alba Piras, Eleonora Musa, Valerio Mais & Anna Maria Paoletti

  2. Department of Obstetrics and Gynecology, Blocco Q, Azienda Ospedaliero Universitaria-Policlinico Duilio Casula, Monserrato, Italy

    Stefano Guerriero

  3. Department of Obstetrics, Gynecology, and Reproduction, Hospital Universitari Dexeus, Barcelona, Spain

    Maria Angela Pascual

  4. Unidad Epidemiología y Estadística, Departamento de Obstetricia, Ginecología y Reproducción, Hospital Universitario Quirón Dexeus, Barcelona, Spain

    Ignacio Rodriguez

  5. Department of Radiology, Azienda Ospedaliero Universitaria di Cagliari, Cagliari, Italy

    Luca Saba

  6. Department of Obstetrics and Gynecology, Clínica Universidad de Navarra, School of Medicine, University of Navarra, Pamplona, Spain

    Juan Luis Alcazar

Authors
  1. Stefano Guerriero
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  2. Silvia Ajossa
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  3. Alba Piras
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  4. Eleonora Musa
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  5. Maria Angela Pascual
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  6. Ignacio Rodriguez
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  7. Luca Saba
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  8. Valerio Mais
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  9. Juan Luis Alcazar
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  10. Anna Maria Paoletti
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Corresponding author

Correspondence to Stefano Guerriero .

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Editors and Affiliations

  1. Division of Obstetrics and Gynaecology, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genova, Genova, Italy

    Simone Ferrero

  2. Department of Obstetrics and Gynaecology, Gynecologic Oncology and Minimally-Invasive Pelvic Surgery, International School of Surgical Anatomy, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona, Italy

    Marcello Ceccaroni

1 Electronic Supplementary Material

Bulky rectosigmoid nodule (AVI 14,159 kb)

Rectosigmoid nodule with absence of sliding (AVI 12,075 kb)

Normal sliding of the uterus in absence of POD occlusion (AVI 5648 kb)

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Guerriero, S. et al. (2020). Non-enhanced Transvaginal Ultrasonography. In: Ferrero, S., Ceccaroni, M. (eds) Clinical Management of Bowel Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-030-50446-5_5

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  • DOI: https://doi.org/10.1007/978-3-030-50446-5_5

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