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Gynäkologie in der Praxis

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Open Access 28.04.2020 | Endometriose | Originalien

Endometriosediagnostik mittels Vaginalultraschall – eine Übersicht

verfasst von: Dr. Eliana Montanari, PhD, Dr. Martino Rolla, PhD, Univ.-Doz. Dr. Gernot Hudelist, M.Sc.

Erschienen in: Gynäkologie in der Praxis | Ausgabe 3/2020

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Zusammenfassung

Endometriose ist eine häufige benigne Erkrankung, welche Infertilität und verschiedene Symptome wie chronische Unterbauchschmerzen, Dysmenorrhö, Dyschezie, Dysurie und Dyspareunie verursachen kann. Häufig sind oberflächliche peritoneale Läsionen oder Endometriosezysten des Ovars zu finden, es können aber bei tief infiltrierender Endometriose (TIE) auch Organe wie Harnblase, Ureteren, Darm, Vagina, Sakrouterinligamente oder Septum rectovaginale infiltriert sein. Neben der Palpation und Spiegeluntersuchung stellt die transvaginale Sonographie (TVS) eine akkurate und leicht verfügbare Methode zur Diagnose der TIE, ovariellen Endometriose und Adenomyose dar.

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Husby GK, Haugen RS, Moen MH (2003) Diagnostic delay in women with pain and endometriosis. Acta Obstet Gynecol Scand 82:649–653CrossRef

Hudelist G, Fritzer N, Thomas A, Niehues C, Oppelt P, Haas D et al (2012) Diagnostic delay for endometriosis in Austria and Germany: causes and possible consequences. Hum Reprod 27:3412–3416CrossRef

Bazot M, Bharwani N, Huchon C, Kinkel K, Cunha TM, Guerra A et al (2017) European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol 27:2765–2775CrossRef

Van den Bosch T, Dueholm M, Leone FP, Valentin L, Rasmussen CK, Votino A et al (2015) Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol 46:284–298CrossRef

Exacoustos C, Zupi E, Piccione E (2017) Ultrasound imaging for ovarian and deep infiltrating endometriosis. Semin Reprod Med 35:5–24CrossRef

Exacoustos C, De Felice G, Pizzo A, Morosetti G, Lazzeri L, Centini G et al (2018) Isolated ovarian endometrioma: a history between myth and reality. J Minim Invasive Gynecol 25:884–891CrossRef

Di Donato N, Bertoldo V, Montanari G, Zannoni L, Caprara G, Seracchioli R (2015) Question mark form of uterus: a simple sonographic sign associated with the presence of adenomyosis. Ultrasound Obstet Gynecol 46:126–127CrossRef

Guerriero S, Ajossa S, Lai MP, Mais V, Paoletti AM, Melis GB (1997) Transvaginal ultrasonography in the diagnosis of pelvic adhesions. Hum Reprod 12:2649–2653CrossRef

Ghezzi F, Raio L, Cromi A, Duwe DG, Beretta P, Buttarelli M et al (2005) “Kissing ovaries”: a sonographic sign of moderate to severe endometriosis. Fertil Steril 83:143–147CrossRef

10.

Hudelist G, Fritzer N, Staettner S, Tammaa A, Tinelli A, Sparic R et al (2013) Uterine sliding sign: a simple sonographic predictor for presence of deep infiltrating endometriosis of the rectum. Ultrasound Obstet Gynecol 41:692–695CrossRef

11.

Tammaa A, Fritzer N, Strunk G, Krell A, Salzer H, Hudelist G (2014) Learning curve for the detection of pouch of Douglas obliteration and deep infiltrating endometriosis of the rectum. Hum Reprod 29:1199–1204CrossRef

12.

Guerriero S, Condous G, van den Bosch T, Valentin L, Leone FP, Van Schoubroeck D et al (2016) Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet Gynecol 48:318–332CrossRef

13.

Guerriero S, Van Calster B, Somigliana E, Ajossa S, Froyman W, De Cock B et al (2016) Age-related differences in the sonographic characteristics of endometriomas. Hum Reprod 31:1723–1731CrossRef

14.

Van Holsbeke C, Van Calster B, Guerriero S, Savelli L, Paladini D, Lissoni AA et al (2010) Endometriomas: their ultrasound characteristics. Ultrasound Obstet Gynecol 35:730–740PubMed

15.

Mascilini F, Moruzzi C, Giansiracusa C, Guastafierro F, Savelli L, De Meis L et al (2014) Imaging in gynecological disease. 10: Clinical and ultrasound characteristics of decidualized endometriomas surgically removed during pregnancy. Ultrasound Obstet Gynecol 44:354–360CrossRef

16.

Barbieri M, Somigliana E, Oneda S, Ossola MW, Acaia B, Fedele L (2009) Decidualized ovarian endometriosis in pregnancy: a challenging diagnostic entity. Hum Reprod 24:1818–1824CrossRef

17.

Chapron C, Pietin-Vialle C, Borghese B, Davy C, Foulot H, Chopin N (2009) Associated ovarian endometrioma is a marker for greater severity of deeply infiltrating endometriosis. Fertil Steril 92:453–457CrossRef

18.

Banerjee SK, Ballard KD, Wright JT (2008) Endometriomas as a marker of disease severity. J Minim Invasive Gynecol 15:538–540CrossRef

19.

Hudelist G, Sevelda U, Keckstein J, Lamche M, Dauser B (2019) Komplikationen der operativen Therapie bei tief infiltrierender Endometriose. GYN-AKTIV 2019(01):21–25

20.

Exacoustos C, Malzoni M, Di Giovanni A, Lazzeri L, Tosti C, Petraglia F et al (2014) Ultrasound mapping system for the surgical management of deep infiltrating endometriosis. Fertil Steril 102:143–150.e2CrossRef

21.

Savelli L, Manuzzi L, Pollastri P, Mabrouk M, Seracchioli R, Venturoli S (2009) Diagnostic accuracy and potential limitations of transvaginal sonography for bladder endometriosis. Ultrasound Obstet Gynecol 34:595–600CrossRef

22.

Guerriero S, Ajossa S, Minguez JA, Jurado M, Mais V, Melis GB et al (2015) Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in uterosacral ligaments, rectovaginal septum, vagina and bladder: systematic review and meta-analysis. Ultrasound Obstet Gynecol 46:534–545CrossRef

23.

Pateman K, Mavrelos D, Hoo WL, Holland T, Naftalin J, Jurkovic D (2013) Visualization of ureters on standard gynecological transvaginal scan: a feasibility study. Ultrasound Obstet Gynecol 41:696–701CrossRef

24.

Pateman K, Holland TK, Knez J, Derdelis G, Cutner A, Saridogan E et al (2015) Should a detailed ultrasound examination of the complete urinary tract be routinely performed in women with suspected pelvic endometriosis? Hum Reprod 30:2802–2807PubMed

25.

Knabben L, Imboden S, Fellmann B, Nirgianakis K, Kuhn A, Mueller MD (2015) Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management, and proposal for a new clinical classification. Fertil Steril 103:147–152CrossRef

26.

Hudelist G, Tuttlies F, Rauter G, Pucher S, Keckstein J (2009) Can transvaginal sonography predict infiltration depth in patients with deep infiltrating endometriosis of the rectum? Hum Reprod 24:1012–1017CrossRef

27.

Belghiti J, Thomassin-Naggara I, Zacharopoulou C, Zilberman S, Jarboui L, Bazot M et al (2015) Contribution of computed tomography enema and magnetic resonance imaging to diagnose multifocal and multicentric bowel lesions in patients with colorectal endometriosis. J Minim Invasive Gynecol 22:776–784CrossRef

28.

Guerriero S, Ajossa S, Orozco R, Perniciano M, Jurado M, Melis GB et al (2016) Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in the rectosigmoid: systematic review and meta-analysis. Ultrasound Obstet Gynecol 47:281–289CrossRef

29.

Valenzano Menada M, Remorgida V, Abbamonte LH, Nicoletti A, Ragni N, Ferrero S (2008) Does transvaginal ultrasonography combined with water-contrast in the rectum aid in the diagnosis of rectovaginal endometriosis infiltrating the bowel? Hum Reprod 23:1069–1075CrossRef

30.

Ferrero S, Biscaldi E, Morotti M, Venturini PL, Remorgida V, Rollandi GA et al (2011) Multidetector computerized tomography enteroclysis vs. rectal water contrast transvaginal ultrasonography in determining the presence and extent of bowel endometriosis. Ultrasound Obstet Gynecol 37:603–613CrossRef

31.

Bergamini V, Ghezzi F, Scarperi S, Raffaelli R, Cromi A, Franchi M (2010) Preoperative assessment of intestinal endometriosis: a comparison of transvaginal sonography with water-contrast in the rectum, transrectal sonography, and barium enema. Abdom Imaging 35:732–736CrossRef

32.

Reid S, Condous G (2014) The issues surrounding the pre-operative TVS diagnosis of rectovaginal septum endometriosis. Australas J Ultrasound Med 17:2–3CrossRef

33.

Reid S, Lu C, Hardy N, Casikar I, Reid G, Cario G et al (2014) Office gel sonovaginography for the prediction of posterior deep infiltrating endometriosis: a multicenter prospective observational study. Ultrasound Obstet Gynecol 44:710–718CrossRef

34.

Okaro E, Condous G, Khalid A, Timmerman D, Ameye L, Huffel SV et al (2006) The use of ultrasound-based ‘soft markers’ for the prediction of pelvic pathology in women with chronic pelvic pain—can we reduce the need for laparoscopy? BJOG 113:251–256CrossRef

35.

Guerriero S, Ajossa S, Gerada M, D’Aquila M, Piras B, Melis GB (2007) “Tenderness-guided” transvaginal ultrasonography: a new method for the detection of deep endometriosis in patients with chronic pelvic pain. Fertil Steril 88:1293–1297CrossRef

36.

Guerriero S, Ajossa S, Gerada M, Virgilio B, Angioni S, Melis GB (2008) Diagnostic value of transvaginal ‘tenderness-guided’ ultrasonography for the prediction of location of deep endometriosis. Hum Reprod 23:2452–2457CrossRef

37.

Stiftung Endometriose Forschung (2019) Consensus meeting. 15th Conference of the Stiftung Endometriose Forschung (Foundation for Endometriosis Research), Hotel Enzian, Weissensee, Austria, February 14–17, 2019 SEF, Weissensee

38.

Grigore M, Socolov D, Pavaleanu I, Scripcariu I, Grigore AM, Micu R (2017) Abdominal wall endometriosis: an update in clinical, imagistic features, and management options. Med Ultrason 19:430–437CrossRef

39.

Andres MP, Arcoverde FVL, Souza CCC, Fernandes LFC, Abrão MS, Kho RM (2020) Extrapelvic endometriosis: a systematic review. J Minim Invasive Gynecol 27:373–389CrossRef

Titel: Endometriosediagnostik mittels Vaginalultraschall – eine Übersicht
verfasst von: Dr. Eliana Montanari, PhD
Dr. Martino Rolla, PhD
Univ.-Doz. Dr. Gernot Hudelist, M.Sc.
Publikationsdatum: 28.04.2020
Verlag: Springer Vienna
Schlagwort: Endometriose
Erschienen in: Gynäkologie in der Praxis / Ausgabe 3/2020
Print ISSN: 3005-0758
Elektronische ISSN: 3005-0766
DOI: https://doi.org/10.1007/s41974-020-00135-x

Springer Medizin Österreich

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