Ultrasound in the Diagnosis of Deep Endometriosis
| Autor: | Stefano Guerriero, Marisa Orrù, Gb Melis, L. Floris, Am Paoletti, M. Gerada, N. Garau, E Silvetti, Mais, Silvia Ajossa, Bruno Piras |
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| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Pelvic endometriosis Transvaginal ultrasonography medicine.diagnostic_test Deep endometriosis business.industry Ultrasound Rectum medicine.anatomical_structure Biopsy medicine Vagina Radiology Nuclear Medicine and imaging Radiology Geriatrics and Gerontology business Laparoscopy |
| Zdroj: | Donald School Journal of Ultrasound in Obstetrics and Gynecology. 3:15-20 |
| ISSN: | 0975-1912 0973-614X |
| DOI: | 10.5005/jp-journals-10009-1004 |
| Popis: | Deep pelvic endometriosis is defined as subperitoneal infiltration of endometrial implants in the uterosacral ligaments, rectum, rectovaginal septum, vagina, or bladder. Although laparoscopy and biopsy remain the gold standard for diagnosis, transvaginal ultrasonography should be considered as the first-line procedure because of its high diffusion and relatively low cost and discomfort. We analyzed in the present review the diagnostic capability of transvaginal ultrasonography in the detection of presence of deep endometriosis in some specific pelvic localizations such as bowel, uterosacral ligaments, rectovaginal septum and/or vagina. We also analyzed the few studies performed in the evaluation of bladder endometriosis. Although some studies are controversial, transvaginal ultrasonography seems to be an accurate technique in the identifications of deep endometriosis in several pelvic locations but a specific training of the operators is suggested. |
| Databáze: | OpenAIRE |
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