Value of endorectal ultrasonography for diagnosing rectovaginal septal endometriosis infiltrating the rectum.

摘要: BACKGROUND AND STUDY AIMS Rectovaginal septal endometriosis (RVSE) can pose serious therapeutic problems when there is infiltration of the rectal septum (which occurs in approximately half cases). The aim this study was to assess value endoscopic ultrasonography diagnosing wall involvement by pelvic endometriosis. PATIENTS METHODS A prospective carried out from May 1998 March 2003 at a single hospital center. 30 patients included presented with suspected RVSE and underwent systematic anorectal ultrasonographic exploration prior surgical intervention. under general anesthesia 7.5-MHz miniprobe equipped distal balloon. RESULTS examination (EUS) showed presence rectovaginal 26 (88 %), uterosacral ligaments 10 (33 ovaries two (6 %). At EUS, nodules were infiltrating 17 (56 demonstrated cases, 22 16 cases. completely infiltrated 12 cases only partly four intestinal tract resection required sensitivity, specificity, positive negative predictive as means found be 96 %, 100 % 83 92 66 64 respectively; diagnostic accuracy 80 respectively. sensitivity for detecting or 42 14 respectively, leading rates 56 53 %. CONCLUSIONS In terms its value, very effective assessing possible wall. However, method not accurate located far EUS probe, case ovaries.