Ultrasonographic evaluation of anal endometriosis: report of four cases.

Abstract:

BACKGROUND:The presence of endometriosis in the anal canal and perianal tissues is rare and difficult to suspect at clinical examination. We report our experience with preoperative ultrasound evaluation of four cases of anal endometriosis. METHODS:Four patients were evaluated by transperineal and high-resolution three-dimensional endoanal ultrasonography. RESULTS:In 3 of 4 women, the lesions involved old episiotomy scars. Anal endometriosis appeared as hypoechoic cystic lesions with areas of microcalcification, not well delimited and highly vascularized. The lesions either involved the anal sphincter (n = 2, one within the rectovaginal septum) or were localized superficially in the ischiorectal space (n = 2). Surgery and pathologic exam confirmed the ultrasonographic findings. CONCLUSIONS:Ultrasonographic findings of anal endometriosis are characteristics and may allow accurate preoperative staging of the disease.

journal_name

Tech Coloproctol

authors

Kołodziejczak M,Sudoł-Szopińska I,Santoro GA,Bielecki K,Wiączek A

doi

10.1007/s10151-014-1176-2

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

1099-104

issue

11

eissn

1123-6337

issn

1128-045X

journal_volume

18

pub_type

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