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Ultrasound findings in extragenital endometriosis

Yi Dong
Yi Dong
, 
Barbara Braden
Barbara Braden
, 
Christoph Klinger
Christoph Klinger
, 
Tomás Ripolles
Tomás Ripolles
 y 
Christoph F. Dietrich
Christoph F. Dietrich
   | 25 sept 2018
Journal of Ultrasonography's Cover Image
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Article Category: case-report
Publicado en línea: 25 sept 2018
Páginas: 247 - 254
Recibido: 30 abr 2018
Aceptado: 06 sept 2018
DOI: https://doi.org/10.15557/jou.2018.0036
Palabras clave
© 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)
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)
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)
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
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)
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)
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
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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4 veces al año
Temas de la revista:
Medicine, Basic Medical Science, other
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