"Kissing ovaries": a sonographic sign of moderate to severe endometriosis.

Abstract:

OBJECTIVE:To evaluate whether the presence of kissing ovaries at ultrasound is a marker for endometriosis and whether it correlates with the severity of the disease. DESIGN:Prospective observational study. SETTING:Gynecologic departments of two university hospitals. PATIENT(S):A total of 722 consecutive premenopausal women who had laparoscopic surgery for an adnexal mass or suspected pelvic endometriosis. INTERVENTION(S):Preoperative ultrasound evaluation and laparoscopic surgery. MAIN OUTCOME MEASURE(S):Diagnostic and predictive value of ultrasound identification of kissing ovaries in the detection of endometriosis. RESULT(S):Kissing ovaries were diagnosed at ultrasound and confirmed laparoscopically in 32 patients. Of these, 27 had moderate to severe endometriosis and five others had benign adnexal masses. Bowel (18.5% vs. 2.5%) and fallopian tube (92.6% vs. 33%) endometriosis were significantly more frequent in patients with kissing ovaries than in patients without kissing ovaries. In infertile patients (n = 145), kissing ovaries were associated with a higher proportion of women with fallopian tube obstruction (80% vs. 8.6%). Considering patients with moderate to severe endometriosis (n = 189), the median (range) revised American Fertility Society score (74 [32-148] vs. 35 [16-146]) and the operative time (115 minutes [65-245 minutes] vs. 50 [15-180 minutes]) were significantly higher in patients with than in those without kissing ovaries. CONCLUSION(S):The detection of kissing ovaries at ultrasound is strongly associated with the presence of endometriosis and is a marker of the most severe form of this disease.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Ghezzi F,Raio L,Cromi A,Duwe DG,Beretta P,Buttarelli M,Mueller MD

doi

10.1016/j.fertnstert.2004.05.094

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

143-7

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(04)02438-0

journal_volume

83

pub_type

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