Endometriosis other diagnostic studies: Difference between revisions
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==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
===Abdominal and Transvaginal ultrasound=== | ===Abdominal and Transvaginal ultrasound=== | ||
*Abdominal ultrasound helps in differentiating endometriomas from other cystic abnormalities. The endometrial lesions have increased vascularity and will demonstrate increased doppler flow.<ref name="pmid19924468">{{cite journal| author=Grasso RF, Di Giacomo V, Sedati P, Sizzi O, Florio G, Faiella E et al.| title=Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography. | journal=Abdom Imaging | year= 2010 | volume= 35 | issue= 6 | pages= 716-25 | pmid=19924468 | doi=10.1007/s00261-009-9587-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19924468 }} </ref> | *Abdominal ultrasound helps in differentiating endometriomas from other cystic abnormalities. The endometrial lesions have increased vascularity and will demonstrate increased doppler flow.<ref name="pmid19924468">{{cite journal| author=Grasso RF, Di Giacomo V, Sedati P, Sizzi O, Florio G, Faiella E et al.| title=Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography. | journal=Abdom Imaging | year= 2010 | volume= 35 | issue= 6 | pages= 716-25 | pmid=19924468 | doi=10.1007/s00261-009-9587-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19924468 }} </ref><ref name="pmid18067126">{{cite journal| author=Park SB, Kim JK, Cho KS| title=Sonography of endometriosis in infrequent sites. | journal=J Clin Ultrasound | year= 2008 | volume= 36 | issue= 2 | pages= 91-7 | pmid=18067126 | doi=10.1002/jcu.20431 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18067126 }} </ref> | ||
*Transvaginal ultrasound is useful in detection of deep seated endometriosis and rectosigmoid endometriosis. It is more sensitive compared to abdominal ultrasound. | *Transvaginal ultrasound is useful in detection of deep seated endometriosis and rectosigmoid endometriosis. It is more sensitive compared to abdominal ultrasound. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Diagnostic laparoscopy is the gold standard to assess the severity and extent of the disease. Transvaginal ultrasound is done in patients with a suspicion of endometriosis, it is helpful in differentiation of endometriomas from other cystic abnormalities of the pelvic structures.
Other Diagnostic Studies
Abdominal and Transvaginal ultrasound
- Abdominal ultrasound helps in differentiating endometriomas from other cystic abnormalities. The endometrial lesions have increased vascularity and will demonstrate increased doppler flow.[1][2]
- Transvaginal ultrasound is useful in detection of deep seated endometriosis and rectosigmoid endometriosis. It is more sensitive compared to abdominal ultrasound.
Diagnostic Laproscopy
- It is the gold standard for the diagnosis of endometriosis.[3]
- It is useful for the assessment of the extent of the disease.
- A scoring system is developed based on the extent of the disease to calculate the Endometriosis Fertility Index to correlate the disease severity to the chance of conception.
References
- ↑ Grasso RF, Di Giacomo V, Sedati P, Sizzi O, Florio G, Faiella E; et al. (2010). "Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography". Abdom Imaging. 35 (6): 716–25. doi:10.1007/s00261-009-9587-7. PMID 19924468.
- ↑ Park SB, Kim JK, Cho KS (2008). "Sonography of endometriosis in infrequent sites". J Clin Ultrasound. 36 (2): 91–7. doi:10.1002/jcu.20431. PMID 18067126.
- ↑ Wood C, Kuhn R, Tsaltas J (2002). "Laparoscopic diagnosis of endometriosis". Aust N Z J Obstet Gynaecol. 42 (3): 277–81. PMID 12230063.