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Journals
Journal of Ultrasonography
Volume 18 (2018): Issue 74 (September 2018)
Open Access
Ultrasound findings in extragenital endometriosis
Yi Dong
Yi Dong
,
Barbara Braden
Barbara Braden
,
Christoph Klinger
Christoph Klinger
,
Tomás Ripolles
Tomás Ripolles
and
Christoph F. Dietrich
Christoph F. Dietrich
| Sep 25, 2018
Journal of Ultrasonography
Volume 18 (2018): Issue 74 (September 2018)
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Article Category:
case-report
Published Online:
Sep 25, 2018
Page range:
247 - 254
Received:
Apr 30, 2018
Accepted:
Sep 06, 2018
DOI:
https://doi.org/10.15557/jou.2018.0036
Keywords
guideline
,
inflammatory bowel disease
,
Crohn disease
,
colitis
,
diarrhea
© 2018 Yi Dong et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Fig. 1.
Colonoscopy showed a semicircular polypoid lesion in the sigmoid colon suggesting neoplasia (A). The lesion was partially resected by endoscopic mucosal resection for tissue sampling (B)
Fig. 2.
Transabdominal B-mode ultrasound (BMUS) confirmed a 40 mm sized heterogeneous hypoechoic and hypervascular lesion infiltrating the sigmoid colon (A–C) using the conventional abdominal probe (A ), high frequency transducer for more details (B) and color Doppler imaging (C)
Fig. 3.
After administering contrast agents, the lesion showed rapid heterogeneous hyperenhancement during early arterial phase (A) and late phase (B). After CEUS, blood flow signals in the lesion were increased (C)
Fig. 4.
Endorectal endoscopic ultrasound of the sigmoid colon revealed transmural extension of the mass confirming the transcutaneous finding. The lesion was vascularized
Fig. 5.
Transabdominal ultrasound of a pancreatic and retroperitoneal endometriosis mimicking pancreatic pseudocysts. Left upper abdominal oblique scan showing a large cystic lesion with slightly echogenic content, thick cystic wall and contact to the pancreatic tail (A). Left flank scan demonstrating a large cystic lesion with echogenic sediment and a thick cystic wall with several layers (B). Transverse abdominal scan revealing a mixed cystic solid lesion with a thick wall between the abdominal aorta and the inferior caval vein (C)
Fig. 6.
Contrast enhanced computed tomography (portal venous phase) of a pancreatic and retroperitoneal endometriosis mimicking pancreatic pseudocysts. Transverse scan showing two cystic lesions inside the pancreatic tail and in the neighborhood of the pancreatic tail with contrast enhancement of the cystic wall (A). Transverse scan of several cystic lesions in the neighborhood of the pancreatic tail with contrast enhancement of the cystic wall (B). Transverse scan of the lower abdomen showing multiple retroperitoneal cystic lesions in the neighborhood of the left paracolic gutter and the psoas muscle. Note contrast-enhancement of the cystic wall (C)
Fig. 7.
Bladder wall deep endometriosis (A) Transvaginal ultrasound image with endometriosis implant inside the upper bladder wall (arrows) V: bladder, U: uterus. (B) Sagittal single-shot fast spin-echo T2-weighted image shows a hypointense nodular lesion with characteristic hyperintense foci (arrow). Note a hyperintense rounded lesion located cranial to the implant with a fluid-liquid level that proved to be an ovarian endometrioma
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