Targeted ultrasound for deep intestinal endometriosis
Intestinal endometriosis is a complex gynecological condition that requires focused investigation and multidisciplinary care by an experienced team1. Here, we demonstrate the value of preoperative transvaginal ultrasound in the evaluation of deep endometriosis involving the intestine. We present a resected rectal segment containing the deep intestinal nodule previously identified on the dedicated transvaginal ultrasound. A preoperative pelvic ultrasound can characterize the extent of the disease to help plan a multidisciplinary surgical approach for the patient.
Chou D, Perera S, Condous G, Cario G, Rosen D, Choi S, Al-Shamari M, Bukhari M. Shaving for intestinal endometriosis. J Minim Invasive Gynecol. Feb 1, 2020; 27 (2): 268-9.
Guerriero S, Condous G, Van den Bosch T, Valentin L, Leone FP, Van Schoubroeck D, Exacoustos C, Installé AJ, Martins WP, Abrao MS, Hudelist G. Systematic approach to ultrasound evaluation of the pelvis in women suspected of endometriosis, including terms, definitions and measures: a consensus opinion of the International Deep Endometriosis Analysis (IDEA) group. Ultrasound in obstetrics and gynecology. September 2016; 48 (3): 318-32.
Della Zazzera V, Benning H, Lortie K, Singh SS. Moose antler sign, sign of deep endometriosis infiltrating the intestine. Journal of Minimally Invasive Gynecology. 2017 Jul 1; 24 (5): 706.
Accepted: December 4, 2021
Received: November 28, 2021
In the Pre-Proof newspaper
Disclosure Statement: The authors declare that they have no conflict of interest and have nothing to disclose.
Ethics: All internal images obtained in our center were acquired with the documented consent of our patients. We have also documented this patient’s informed consent for the use of these images for publication.
© 2021 Posted by Elsevier Inc. on behalf of AAGL.