Endometriosis echocardiography or ultrasound: Difference between revisions
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==Overview== | ==Overview== | ||
Abdominal [[ultrasound]] in a patient with endometriosis helps in differentiating endometriomas from other [[cystic]] abnormalities. The [[Endometrium|endometrial]] lesions have increased vascularity and will demonstrate increased [[Doppler ultrasound|Doppler]] flow. Transvaginal ultrasound is more sensitive. | |||
==Ultrasound== | ==Ultrasound== | ||
* Abdominal [[ultrasound]] helps in differentiating endometriomas from other [[cystic]] abnormalities. The [[Endometrium|endometrial]] lesions have increased vascularity and will demonstrate increased [[Doppler ultrasound|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 [[Endometrium|endometrial]] lesions have increased vascularity and will demonstrate increased [[Doppler ultrasound|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> | ||
* [[Transvaginal ultrasound]] is useful in the detection of deeply seated [[endometriosis]] and [[Sigmoid|rectosigmoid]] [[endometriosis]]. | * [[Transvaginal ultrasound]] is useful in the detection of deeply seated [[endometriosis]] and [[Sigmoid|rectosigmoid]] [[endometriosis]]. [[Transvaginal ultrasound]] is more sensitive as compared to an abdominal ultrasound.<ref name="pmid18007126">{{cite journal| author=Dueholm M, Lundorf E| title=Transvaginal ultrasound or MRI for diagnosis of adenomyosis. | journal=Curr Opin Obstet Gynecol | year= 2007 | volume= 19 | issue= 6 | pages= 505-12 | pmid=18007126 | doi=10.1097/GCO.0b013e3282f1bf00 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18007126 }}</ref> | ||
* Ultrasound may show mural nodules. If these mural nodules are hyperechoic, these have a high predictive value for endometrioma over non-endometrial cancer. | **Key features of endometrioma are typically unilocular cysts but may be multilocular, containing thin or thick septations. | ||
* Ultrasound may show mural nodules in case of endometriosis. If these mural nodules are hyperechoic, these have a high predictive value for endometrioma over non-endometrial cancer. | |||
[[File:Scar endo....jpg|500px]] | [[File:Scar endo....jpg|500px]] | ||
Revision as of 16:55, 28 July 2017
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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
Abdominal ultrasound in a patient with endometriosis helps in differentiating endometriomas from other cystic abnormalities. The endometrial lesions have increased vascularity and will demonstrate increased Doppler flow. Transvaginal ultrasound is more sensitive.
Ultrasound
- Abdominal ultrasound helps in differentiating endometriomas from other cystic abnormalities. The endometrial lesions have increased vascularity and will demonstrate increased Doppler flow.[1]
- Transvaginal ultrasound is useful in the detection of deeply seated endometriosis and rectosigmoid endometriosis. Transvaginal ultrasound is more sensitive as compared to an abdominal ultrasound.[2]
- Key features of endometrioma are typically unilocular cysts but may be multilocular, containing thin or thick septations.
- Ultrasound may show mural nodules in case of endometriosis. If these mural nodules are hyperechoic, these have a high predictive value for endometrioma over non-endometrial cancer.
UltraSound shows scar endometriosis
UltraSound shows anterior abdominal wall edometriosis
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.
- ↑ Dueholm M, Lundorf E (2007). "Transvaginal ultrasound or MRI for diagnosis of adenomyosis". Curr Opin Obstet Gynecol. 19 (6): 505–12. doi:10.1097/GCO.0b013e3282f1bf00. PMID 18007126.