Endometriosis echocardiography or 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
Abdominal ultrasound in a patient with endometriosis is helpful in differentiating endometriosis from other cystic abnormalities. The endometrial lesions have increased vascularity and will demonstrate increased Doppler flow. Transvaginal ultrasound is more sensitive.
Ultrasound
- Abdominal ultrasound is helpful in differentiating endometriosis 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 than 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 the case of endometriosis. If these mural nodules are hyperechoic, these have a high predictive value for endometrioma over non-endometrial cancer.
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.