Vaginal endosonography to diagnose enterocoele

The British Journal of Radiology
S HalliganC Bartram

Abstract

Radiological diagnosis of enterocoele is possible using evacuation proctography, but the standard technique must be modified to reveal the small bowel. Since prolapsed bowel is interposed between the vagina and rectum, diagnosis may be possible using vaginal endosonography. We describe a simple ultrasound technique to diagnose enterocoele, which has been validated by comparison with proctography. 17 women were examined with vaginal endosonography, and a diagnosis of enterocoele made if bowel was visualized in the rectovaginal space when bearing down. The findings were compared with subsequent proctography. In eight cases (47%) bowel prolapsed into the rectogenital space during straining, obscuring the rectum, while this did not occur in the remaining nine subjects (53%). Proctography confirmed an enterocoele in six of the eight cases in whom it had been diagnosed on endosonography, and confirmed the absence of enterocoele in all of the nine cases negative on endosonography. These values gave vaginal endosonography a sensitivity of 100% and specificity of 82%, with a positive predictive value of 75%, and negative predictive value of 100% for a prevalence of abnormality of 0.35. Vaginal endosonography is a quick, easy and conveni...Continue Reading

References

Apr 1, 1992·British Journal of Obstetrics and Gynaecology·S M CreightonS L Stanton
Jan 1, 1992·Radiology·B D ArcherG W Stevenson
Aug 1, 1988·International Journal of Colorectal Disease·C N Hudson
Aug 1, 1994·International Journal of Colorectal Disease·A MellgrenB Holmström
Dec 1, 1994·Diseases of the Colon and Rectum·A H SultanC N Hudson
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Feb 1, 1953·Acta Radiologica·L WALLDEN

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Citations

Mar 4, 2000·Diseases of the Colon and Rectum·A LienemannM Reiser
Sep 6, 2001·Diseases of the Colon and Rectum·S Halligan
Dec 22, 1999·The British Journal of Surgery·J StokerJ S Laméris
Apr 6, 2002·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Mark E Vierhout, Yvonne W C M van der Plas-de Koning
Sep 24, 2021·The Cochrane Database of Systematic Reviews·Isabelle Ma van GrutingAbdul H Sultan

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