scholarly journals Differential Diagnosis of Endometriosis by Ultrasound: A Rising Challenge

Diagnostics ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. 848 ◽  
Author(s):  
Marco Scioscia ◽  
Bruna A. Virgilio ◽  
Antonio Simone Laganà ◽  
Tommaso Bernardini ◽  
Nicola Fattizzi ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Subsequent Treatment ◽  
Clinical Impact ◽  
Accurate Diagnosis ◽  
Deep Infiltrating Endometriosis ◽  
Pelvic Endometriosis ◽  
Sonographic Evaluation ◽  
Appropriate Treatment ◽  
Internal Genitalia ◽  
Infiltrating Endometriosis

Ultrasound is an effective tool to detect and characterize endometriosis lesions. Variances in endometriosis lesions’ appearance and distorted anatomy secondary to adhesions and fibrosis present as major difficulties during the complete sonographic evaluation of pelvic endometriosis. Currently, differential diagnosis of endometriosis to distinguish it from other diseases represents the hardest challenge and affects subsequent treatment. Several gynecological and non-gynecological conditions can mimic deep-infiltrating endometriosis. For example, abdominopelvic endometriosis may present as atypical lesions by ultrasound. Here, we present an overview of benign and malignant diseases that may resemble endometriosis of the internal genitalia, bowels, bladder, ureter, peritoneum, retroperitoneum, as well as less common locations. An accurate diagnosis of endometriosis has significant clinical impact and is important for appropriate treatment.

Hysteroscopic vaginoscopy. An additional diagnostic tool for recto-vaginal deep infiltrating endometriosis

2020 ◽  
pp. 228402652096786
Author(s):  
Brunella Zizolfi ◽  
Virginia Foreste ◽  
Attilio Di Spiezio Sardo ◽  
Pierluigi Giampaolino ◽  
Annarita Gencarelli ◽  
...  
Keyword(s):  
Bowel Resection ◽  
Uterine Cavity ◽  
Accurate Diagnosis ◽  
Endometrial Tissue ◽  
Deep Infiltrating Endometriosis ◽  
Resonance Imaging ◽  
Total Hysterectomy ◽  
Segmental Bowel Resection ◽  
History Of ◽  
Infiltrating Endometriosis

Endometriosis is the presence of endometrial tissue outside the uterine cavity. Rectovaginal infiltration is present in 5% to 25% of the patients diagnosed with endometriosis. Accurate diagnosis is imperative for adequate counseling. Hysteroscopic vaginoscopy allows the inspection of the posterior vaginal fornix, not only providing better visualization of the area due to image magnification, but also allowing to obtain biopsy providing pathologic confirmation. We report the case of a 49-year-old nulliparous patient with long history of severe dysmenorrhea, deep dyspareunia and debilitating chronic pelvic pain not responding to medical treatment. On physical exam, recto-vaginal tender nodularity was palpated. Vaginal ultrasound and magnetic resonance imaging confirmed the presence of the nodular formation extending up to the rectum. In-office vaginoscopy revealed a perforated bulge on the uterine cervix, mimicking a double cervix. A biopsy of the nodule confirmed the presence of endometrial tissue, confirming the diagnosis of endometriosis. Patient underwent total hysterectomy with excision of deep infiltrating endometriosis which required segmental bowel resection with diverting loop colostomy. The final pathology confirmed the diagnosis of deep infiltrating endometriosis.

Modern methods for radiological diagnosis of endometriosis

2020 ◽  
Vol 69 (2) ◽  
pp. 59-72
Author(s):  
Elena I. Rusina ◽  
Maria I. Yarmolinskaya ◽  
Alina O. Ivanova
Keyword(s):  
Systematic Approach ◽  
Current Data ◽  
Accurate Diagnosis ◽  
Comprehensive Treatment ◽  
Deep Infiltrating Endometriosis ◽  
Modern Methods ◽  
Extragenital Endometriosis ◽  
Gynecological Disease ◽  
Reproductive Aged Women ◽  
Infiltrating Endometriosis

Endometriosis is a widespread gynecological disease, which affects reproductive-aged women. An accurate diagnosis is critical to develop a more comprehensive treatment strategy for endometriosis than is currently available. This article provides an overview of current data on the value of radiation techniques for the diagnosis of external genital and extragenital endometriosis, deep infiltrating endometriosis, and adenomyosis. The necessity of using a systematic approach to examine the pelvis in women with suspected endometriosis is shown, modern terms and methods of measurement being given to describe ultrasound picture of endometriosis.

scholarly journals Neuroendocrine appendiceal tumor and endometriosis of the appendix: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Rogério Serafim Parra ◽  
Marley Ribeiro Feitosa ◽  
Giovana Bachega Badiale Biagi ◽  
Daniel Ferracioli Brandão ◽  
Margarida Maria Fernandes da Silva Moraes ◽  
...  
Keyword(s):  
Neuroendocrine Tumors ◽  
Histopathological Analysis ◽  
Deep Infiltrating Endometriosis ◽  
Pelvic Endometriosis ◽  
Case Presentation ◽  
Appendiceal Tumor ◽  
Ovarian Endometrioma ◽  
Rectal Involvement ◽  
Well Differentiated ◽  
Infiltrating Endometriosis

Abstract Introduction Endometriosis of the appendix is very uncommon, accounting for only about 1% of all cases of endometriosis. However, endometriosis is found in the appendix in approximately 8–13% of patients with deep infiltrating endometriosis and is particularly common in patients with severe forms of deep infiltrating endometriosis. Neuroendocrine tumors are the most common neoplasms of the appendix and may be misdiagnosed when there are multiple endometriosis lesions in the pelvis. Case presentation We describe a case of a Caucasian patient with deep infiltrating endometriosis with rectal involvement, retrocervical lesions, and a right ovarian endometrioma with no suspected lesions in the appendix. She underwent laparoscopy and, after a systematic intraoperative evaluation, suspected involvement of the appendix was observed. The patient underwent ovarian cystectomy, excision of the pelvic endometriosis lesions, appendectomy, and anterior stapler discoid resection. Histopathological analysis of the appendix revealed endometriosis and a well-differentiated neuroendocrine carcinoma at the appendix tip. Discussion Our patient’s case emphasizes the need to approach these lesions carefully and strengthens the indication for appendectomy when the appendix is affected in the setting of endometriosis. Despite the more likely diagnosis of appendiceal endometriosis, neuroendocrine tumors cannot be ruled out by imaging examinations, and both conditions can occur in the same patient.

Ultrasound Differential Diagnosis in Deep Infiltrating Endometriosis of the Urinary Tract

2020 ◽  
Vol 39 (11) ◽  
pp. 2261-2275 ◽  
Author(s):  
Marco Scioscia ◽  
Isabella Zanetti ◽  
Xenia Raspanti ◽  
Elide Spoto ◽  
Antonella Portuese ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Urinary Tract ◽  
Deep Infiltrating Endometriosis ◽  
Infiltrating Endometriosis

scholarly journals Differential Diagnosis of Hypoglycemia

2021 ◽  
Vol 96 (6) ◽  
pp. 484-492
Author(s):  
Young Sang Lyu ◽  
Jin Hwa Kim ◽  
Sang Yong Kim
Keyword(s):  
Differential Diagnosis ◽  
Treatment Strategy ◽  
Accurate Diagnosis ◽  
Diagnostic Approach ◽  
Hypoglycemic Agents ◽  
Blood Testing ◽  
Appropriate Treatment ◽  
Life Threatening

Hypoglycemia is common but can lead to life-threatening consequences. Accurate diagnosis is important to establish the appropriate treatment strategy. Most cases of hypoglycemia are caused by hypoglycemic agents, although it can occur in individuals without diabetes. A systemic and comprehensive diagnostic approach is required to diagnose hypoglycemia in patients without diabetes. It is important to perform appropriate blood testing during an episode of hypoglycemia. This review will focus on the definition, differential diagnosis, causes, and treatment of hypoglycemia, particularly in people without diabetes.

Anogenital lumps and bumps

2020 ◽  
pp. 1613-1621
Author(s):  
Henry J.C. de Vries ◽  
Charles J.N. Lacey
Keyword(s):  
Pattern Recognition ◽  
Differential Diagnosis ◽  
Sexually Transmitted Infections ◽  
Subcutaneous Fat ◽  
Skin Layer ◽  
Accurate Diagnosis ◽  
Sexually Transmitted ◽  
Appropriate Treatment ◽  
Anogenital Region

Anogenital lesions can be related to sexually transmitted infections, physiological variants that worry the patient, or dermatological conditions unrelated to infection. The clinical diagnostic approach is based on the colour of the lesion and the skin layer involved (epidermis, dermis, or subcutaneous fat compartment). A strong element of pattern recognition is involved in accurate diagnosis. This can only be learnt with experience, but is essential for determination of appropriate treatment. In this chapter the most common anogenital dermatological diagnoses are discussed using an approach based on the colour of the lesion and the skin layer involved. Many of these infections are asymptomatic, enabling ongoing transmission. Some sexually transmitted infections cause symptoms, especially in the anogenital region, and therefore need to be considered in the differential diagnosis of patients presenting with anogenital lesions.

scholarly journals Sonographic Differential Diagnosis in Deep Infiltrating Endometriosis: The Bowel

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Marco Scioscia ◽  
Simone Orlandi ◽  
Giamberto Trivella ◽  
Antonella Portuese ◽  
Stefano Bettocchi ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Series ◽  
Secondary Level ◽  
Deep Infiltrating Endometriosis ◽  
Pelvic Endometriosis ◽  
Pelvic Ultrasound ◽  
First Line ◽  
Deep Endometriosis ◽  
Operator Experience ◽  
Colonic Involvement

Up to one-third of fertile-age women with severe endometriosis suffer from colonic involvement. Transvaginal ultrasonography has become a first-line diagnostic tool for the study of the pelvis and more specifically for the diagnosis of pelvic endometriosis. Accuracy of pelvic ultrasound for deep endometriosis increases with operator experience, but the difficulties in the differential diagnosis with diseases that can afflict the bowel tract remain a challenge. We reviewed noteworthy cases referred for secondary level diagnosis suspected of bowel endometriosis in which the subsequent ultrasound led to an alternative diagnosis. This case series aims to highlight awareness for both experts and less-experienced operators the possible differential diagnoses of bowel lesions that initially resemble endometriosis.

Expression of GLUT-1 in human eutopic endometrium, in peritoneal endometriotic lesions, and in deep-infiltrating endometriosis

2011 ◽  
Vol 71 (10) ◽  
Author(s):  
C von Kleinsorgen ◽  
W von Zglienicki ◽  
U Thiel-Moder ◽  
G Niedobitek-Kreuter ◽  
S Mechsner ◽  
...  
Keyword(s):  
Deep Infiltrating Endometriosis ◽  
Eutopic Endometrium ◽  
Glut 1 ◽  
Infiltrating Endometriosis
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