Intraoperative Ultrasound for Bowel Deep Infiltrating Endometriosis

Andrea Puppo, Elena Olearo, Andrea Gattolin, Roberto Rimonda, Antonia Novelli, Marcello Ceccaroni
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2020 · vol. 40(7) , pp. 1417–1425 · doi:10.1002/jum.15511 · PMID:32991006 · W3089381773
article OA: closed CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

Intraoperative ultrasound was used to assess deep infiltrating endometriosis bowel nodules in nine patients, revealing hypoechoic elliptical lesions with clear margins and measurable infiltration depth.

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Abstract

The decision to perform either conservative surgery or segmental bowel resection for bowel deep infiltrating endometriosis (DIE) is made intraoperatively, after a preoperative assessment, based on the nodule's features. We introduce a technique to evaluate DIE bowel nodules using laparoscopic intraoperative ultrasound (US) during laparoscopic radical treatment of 9 cases of DIE invading the bowel. Once the bowel lesion was isolated, an intraoperative 12-4-MHz US transducer was placed on the surface of the nodules to study their US features and to gain measurements. Deep infiltrating endometriosis nodules appear at intraoperative US as hypoechoic elliptical lesions with a clear definition of margins and the depth of infiltration of the rectal wall.

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Condition tags

mesh:D004715endometriosisdie_deep_infiltrating

MeSH descriptors

Digestive System Surgical Procedures Endometriosis Endometriosis Endometriosis Laparoscopy Rectal Diseases Female Humans Rectum Ultrasonography

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (6)

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