Diagnosis of posterior enterocele: comparison of rectal ultrasonography with intraoperative diagnosis

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
M E Vierhout, Y W van der Plas-de Koning

Abstract

To describe a new ultrasonographic technique and to compare it with intraoperative findings in women with a suspected enterocele. An observational study was conducted in the Department of Gynecology of a medium-sized teaching hospital. Twenty-nine patients with clinical and ultrasonographic diagnoses of an enterocele were reviewed. All patients had vaginal repair surgery, including a posterior repair in which the existence of an enterocele was confirmed or denied. In 27 of the 29 patients, the enterocele was diagnosed as such during surgery and handled accordingly. The 2 enteroceles that were not confirmed were smaller types. Rectal ultrasonographic findings were in good accordance with intraoperative anatomic characteristics. Rectal ultrasonography has the capability of diagnosing small, occult enteroceles. This can have important clinical implications in the prophylactic use of additional enterocele repair during hysterectomy or prolapse surgery.

References

Aug 15, 1981·American Journal of Obstetrics and Gynecology·R E SymmondsM J Webb
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Citations

Jun 11, 2011·Neurourology and Urodynamics·Andrea TubaroCosimo de Nunzio
May 9, 2006·Journal of Gastroenterology and Hepatology·Nikolaos AndromanakosDimitrios Filippou
Dec 9, 2009·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·J-F LaprayF Haab

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