, Patients (N=92) Patients : Age (mean yrs, min-max) 35 (20-52) History of endometriosis surgery (n,%) 37 (39,4) Suggested digestive symptoms (pain during defecation, Catamenial Rectorragies
, Non-specific digestive symptoms
, PMA ou antécédent d'infertilité (n,%) Surgery following the imaging assessment (n,%) 38 (40,4) 21 (22,8) IRM : Performed off-centre (n,%) Marking : 46 (50) -Recto-vaginal, vol.70, p.65
Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain, Fertility and Sterility. 1 avr, vol.55, issue.4, pp.759-65, 1991. ,
World Endometriosis Society Montpellier Consortium. Consensus on current management of endometriosis, Hum Reprod. juin, vol.28, issue.6, pp.1552-68, 2013. ,
Clinical practice. Endometriosis, N Engl J Med. 24 juin, vol.362, issue.25, pp.2389-98, 2010. ,
Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities, Fertil Steril, vol.68, issue.4, pp.585-96, 1997. ,
John A Sampson and the origins of Endometriosis, J Obstet Gynecol India. août, vol.60, issue.4, pp.299-300, 2010. ,
Deep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease, Hum Reprod. 1 avr, vol.18, issue.4, pp.760-766, 2003. ,
Imaging of intestinal involvement in endometriosis, Diagn Interv Imaging. mars, vol.94, issue.3, pp.281-91, 2013. ,
Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination, Hum Reprod. 1 mars, vol.24, issue.3, pp.602-609, 2009. ,
Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications, Hum Reprod Update, vol.11, issue.6, pp.595-606, 2005. ,
Can specific pain symptoms help in the diagnosis of endometriosis? A cohort study of women with chronic pelvic pain, Fertility and Sterility. juin, vol.94, issue.1, pp.20-27, 2010. ,
Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications, World J Gastroenterol. 21 déc, vol.21, issue.47, pp.13345-51, 2015. ,
Discoid or segmental rectosigmoid resection for deep infiltrating endometriosis: a case-control study, Fertility and Sterility. juill, vol.94, issue.2, pp.444-453, 2010. ,
Evaluation of pre-and post-operative symptoms in patients submitted to linear stapler nodulectomy due to anterior rectal wall endometriosis, Surgical Endoscopy. août, vol.29, issue.8, pp.2389-93, 2015. ,
Long-term follow-up after conservative surgery for rectovaginal endometriosis, American Journal of Obstetrics and Gynecology. avr, vol.190, issue.4, pp.1020-1024, 2004. ,
Tailoring radicality in demolitive surgery for deeply infiltrating endometriosis, American Journal of Obstetrics and Gynecology. juill, vol.193, issue.1, pp.114-121, 2005. ,
Prise en charge chirurgicale des endométrioses profondes extensives avec atteinte digestive ,
, Médecine Thérapeutique / médecine de la reproduction, vol.9, pp.46-52, 2007.
Prevalence of newly diagnosed endometriosis in women attending the general practitioner, International Journal of Gynecology & Obstetrics, vol.110, issue.3, pp.203-210, 2010. ,
Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis, Ultrasound in Obstetrics and Gynecology. déc, vol.30, issue.7, pp.994-1001, 2007. ,
Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis: TVS for deep pelvic endometriosis, Ultrasound in Obstetrics and Gynecology. août, vol.24, issue.2, pp.180-185, 2004. ,
Deep Pelvic Endometriosis: MR Imaging for Diagnosis and Prediction of Extension of Disease, Radiology. août, vol.232, issue.2, pp.379-89, 2004. ,
Incidence and characterization of diagnosed endometriosis in a geographically defined population, Fertility and Sterility. 1 août, vol.82, issue.2, pp.314-335, 2004. ,
Intestinal endometriosis. A Report of 29 Cases and a Survey of the Literature, BJOG: An International Journal of Obstetrics and Gynaecology. août, vol.67, issue.4, pp.539-55, 1960. ,
Endometriosis of the bowel, Obstet Gynecol. mai, vol.69, issue.5, pp.727-757, 1987. ,
,
, J Gynecol Obstet Biol Reprod (Paris). avr, vol.41, issue.2, pp.128-163, 2012.
The involvement of the interstitial Cajal cells and the enteric nervous system in bowel endometriosis, Human Reproduction. 1 janv, vol.20, issue.1, p.71, 2005. ,
Surgical treatment of symptomatic colorectal endometriosis, Fertil Steril. mars, vol.53, issue.3, pp.411-417, 1990. ,
Aggressive surgical management for advanced colorectal endometriosis, Dis Colon Rectum. 1 août, vol.37, issue.8, pp.747-53, 1994. ,
Operative management of deeply infiltrating endometriosis: Results on pelvic pain symptoms according to a surgical classification, Journal of Minimally Invasive Gynecology. avr, vol.12, issue.2, pp.106-118, 2005. ,
Routine clinical examination is not sufficient for diagnosing and locating deeply infiltrating endometriosis, J Am Assoc Gynecol Laparosc. mai, vol.9, issue.2, pp.115-124, 2002. ,
Urinary Complications After Surgery for Posterior Deep Infiltrating Endometriosis are Related to the Extent of Dissection and to Uterosacral Ligaments Resection, Journal of Minimally Invasive Gynecology. 1 mars, vol.15, issue.2, pp.235-275, 2008. ,
Bowel endometriosis: CT-enteroclysis, Abdom Imaging. août, vol.32, issue.4, pp.441-50, 2007. ,
Multislice CT enteroclysis in the diagnosis of bowel endometriosis, Eur Radiol. janv, vol.17, issue.1, pp.211-220, 2007. ,
, Imaging in Deep Pelvic Endometriosis: A Pictorial Essay. RadioGraphics. 1 mars, vol.31, issue.2, pp.549-67, 2011.
Contribution of Computed Tomography Enema and Magnetic Resonance Imaging to Diagnose Multifocal and Multicentric Bowel Lesions in Patients With Colorectal Endometriosis, Journal of Minimally Invasive Gynecology. juill, vol.22, issue.5, pp.776-84, 2015. ,
Transrectal ultrasonography in the assessment of rectovaginal endometriosis, Obstet Gynecol. mars, vol.91, issue.3, pp.444-452, 1998. ,
Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in the rectosigmoid: systematic review and meta-analysis, Ultrasound Obstet Gynecol. mars, vol.47, issue.3, pp.281-290, 2016. ,
Diagnostic accuracy of transvaginal ultrasound for non-invasive diagnosis of bowel endometriosis: systematic review and meta-analysis, Ultrasound in Obstetrics & Gynecology. 1 mars, vol.37, issue.3, pp.257-63, 2011. ,
Accuracy of magnetic resonance in deeply infiltrating endometriosis: a systematic review and metaanalysis, Arch Gynecol Obstet. mars, vol.291, issue.3, pp.611-632, 2015. ,
Comparaison de l'échoendoscopie rectale et de l'IRM pour le diagnostic de l'atteinte colorectale par l'endométriose, Gynécologie Obstétrique Fertilité & Sénologie. mars, vol.45, issue.3, pp.131-137, 2017. ,
urogynécologie -Caractéristiques IRM de l'endométriose profonde : corrélation aux résultats coelioscopiques, 2008. ,
,
Deep Retroperitoneal Pelvic Endometriosis: MR Imaging Appearance with Laparoscopic Correlation, RadioGraphics, vol.26, issue.6, pp.1705-1723, 2006. ,
Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis, Hum Reprod. déc, vol.22, issue.12, pp.3092-3099, 2007. ,
Accuracy of rectal endoscopic ultrasonography and magnetic resonance imaging in the diagnosis of rectal involvement for patients presenting with deeply infiltrating endometriosis, Ultrasound Obstet Gynecol. août, vol.24, issue.2, pp.175-184, 2004. ,
Preoperative imaging of deeply infiltrating endometriosis in: Transvaginal sonography, rectal endoscopic sonography and magnetic resonance imaging ,
, Gynecol Obstet Fertil, vol.40, issue.11, pp.634-675, 2012.
CT enteroclysis: technique and clinical applications, Eur Radiol. mars, vol.16, issue.3, p.60, 2006. ,
Sonography and MR imaging for the assessment of deep pelvic endometriosis, J Minim Invasive Gynecol. avr, vol.12, issue.2, p.186, 2005. ,
Rectosigmoid Endometriosis: Endoscopic Ultrasound Features and Clinical Implications, Endoscopy. juill, vol.32, issue.7, pp.525-555, 2000. ,
Rectal endoscopic ultrasound with a radial probe in the assessment of rectovaginal endometriosis, J Am Assoc Gynecol Laparosc. févr, vol.11, issue.1, p.4, 2004. ,
Current status on performance of CT colonography and clinical indications, European Journal of Radiology. 1 août, vol.82, issue.8, pp.1192-200, 2013. ,
Multidetector computed tomography enteroclysis (MDCT-E) with neutral enteral and IV contrast enhancement in tumor detection | SpringerLink, 2005. ,
Rectosigmoid endometriosis: comparison between CT water enema and video laparoscopy, Clin Radiol. sept, vol.68, issue.9, pp.895-901, 2013. ,
Multidetector computerized tomography enema versus magnetic resonance enema in the diagnosis of rectosigmoid endometriosis, European Journal of Radiology. févr, vol.83, issue.2, pp.261-268, 2014. ,
Computed tomographic colonography vs rectal water-contrast transvaginal sonography in diagnosis of rectosigmoid endometriosis: a pilot study: Diagnosis of rectosigmoid endometriosis by CTC and RWC-TVS, Ultrasound in Obstetrics & Gynecology. avr, vol.49, issue.4, pp.515-538, 2017. ,
The Usefulness of Computed Tomographic Colonography for Evaluation of Deep Infiltrating Endometriosis: Comparison With Magnetic Resonance Imaging, Journal of Computer Assisted Tomography, vol.37, issue.5, pp.809-823, 2013. ,
Endométriose pelvienne profonde en IRM : quelles lésions ? Pour quel impact ? /data/revues/17769817/v22i4/S177698 1712001058, 2012. ,
,
Deep pelvic endometriosis: limited additional diagnostic value of postcontrast in comparison with conventional MR images, Eur J Radiol. déc, vol.80, issue.3, pp.331-339, 2011. ,
Multislice computed tomography with colon water distension (MSCT-c) in the study of intestinal and ureteral endometriosis, Clin Imaging. déc, vol.37, issue.6, pp.1061-1069, 2013. ,
Diagnosis of colorectal endometriosis: contribution of contrast enhanced MRcolonography, Eur Radiol. juill, vol.21, issue.7, pp.1553-63, 2011. ,
, L'objectif de cette étude rétrospective monocentrique était d'évaluer l'apport diagnostique du coloscanner, en complément des résultats de l'IRM, chez des patientes ayant une suspicion clinique et/ou IRM d'atteinte digestive par endométriose
92 patientes ont passé un coloscanner pour suspicion d'endométriose digestive, après une IRM réalisée dans le même centre ou dans un centre externe. Toutes les imageries des patientes incluses étaient relues en double aveugle par un radiologue sénior et un radiologue junior, afin de déterminer la présence d'une atteinte digestive transmurale ou non, et le cas échéant, sa localisation, ses dimensions et son éventuelle caractère sténosant ou multifocal, La sensibilité et spécificité de l'IRM et du coloscanner ont été calculées pour un sous-groupe de patientes opérées, 2017. ,
, La concordance inter-observateur était élevée en IRM et presque parfaite en coloscanner
, Cinquante-sept atteintes digestives « vraies », soit transmurales, ont été mises en évidence en IRM et la quasi-totalité d'entre elles (N=54, 94,7%) ont été confirmées en coloscanner
, Concernant les atteintes incertaines, c'est-à-dire qualifiées d' « indéterminées
,
34 lésions sténosantes ont été diagnostiquées en coloscanner avec une concordance inter-observateur presque parfaite ,
, Le coloscanner semble apporter une valeur ajoutée diagnostique sur le caractère transmural ou non de l'atteinte digestive endométriosique, notamment en ce qui concerne les cas douteux en IRM. Il semble également plus sensible pour le diagnostic de lésions multiples, notamment sigmoïdiennes et haut-situées ; et pour la détermination du caractère sténosant de la lésion. Néanmoins, ces résultats doivent être corrélés
Endométriose pelvienne profonde, endométriose digestive, coloscanner, atteinte multifocale, sténose ,