Association-between-intestinal-nodules-of-deeply-infiltrating

Association between intestinal nodules of deeply infiltrating endometriosis,
ovarian endometriosis and adenomyosis
Abstract ID : 1385
Soumis par : Cristina Ros Le 2016-02-19 17:22:29
Nom de la catégorie : SEUD CONGRESS
Typologie : Communication orale / Oral communication
Statut : validé
Autorisation de diffusion : Yes/Oui
------------------------------------Introduction: The three types of endometriosis (ovarian, superficial and deeply infiltrating) could be associated in the
same patient. Adenomyosis shares some physiopathological mechanisms with endometriosis and should be considered
when endometriosis is diagnosed. The aim of the study is to describe the association between women with intestinal
nodules and ovarian endometriomas (OMA) or adenomyosis.
Patients and methods: An observational study was designed in a tertiary universitary hospital from November 2014 to
November 2015, including patients with suspected deeply infiltrating endometriosis (DIE). A transvaginal ultrasound with
bowel preparation (TVUS-BP) was performed to all patients in order to detect intestinal infiltration of DIE. The presence
of OMA and adenomyosis (considered when >2 ultrasound criteria were observed) was compared in patients with and
without intestinal nodules of DIE.
Results: A total of 132 patients were included in the study, with a mean age of 36.6 ± 5.2 years. Up to 51% of patients
with OMA showed intestinal nodules, especially when ovarian cysts are bilateral (19 patients out of 28; p=0.01), whereas
42% of women with bowel involvement did not present ovarian affection. Additionally, 62% of patients with adenomyosis
presented intestinal nodules, whereas only 37% of patients with bowel infiltration did not have criteria of adenomyosis in
the TVUS (p=0.005). Therefore, the Odds Ratio (OR) to present rectosigmoid nodules when bilateral OMAs or
adenomyosis are diagnosed is 2.96 (1.11-7-87; p=0.03) and 2.64 (1.13-6.20; p=0.02) respectively. When adherences of
posterior DIE to the serosa layer of the rectum were also considered, the OR to present intestinal nodules increases to
3.89 (1.27-11.95; p=0.02) for bilateral OMAs and up to 13.96 (3.85-50.66; p=0.01) for adenomyosis.
Conclusion: When bilateral OMAs are diagnosed, the likelihood of intestinal involvement is 3-fold compared with patients
without ovarian affection. Moreover, the OR to present bowel affection is 2.6 when ultrasound criteria of criteria
adenomyosis exist. When adherences of posterior DIE nodules to the rectal wall were included in the analysis, the OR
increases considerably, especially when adenomyosis is diagnosed.
------------------------------------Mots clefs : DIE, endometriosis, adenomyosis
Auteurs :
Références : , , ,
Auteurs
Cristina Ros 1, Juan Balasch 2, Francisco Carmona 2, Maria José Martínez-Serrano 2, Mariona Rius 2, Jordina Munrós
2, Maria Àngels Martínez-Zamora 2, Meritxell Gracia 2,
1. Endometriosis unit, ICGON, Hospital clínic Barcelona, Barcelona, SPAIN
2. Endometriosis unit, ICGON, Hospital clínic, Barcelona, SPAIN
Auteurs (raw format)
Ros Cristina - email : [email protected] Etablissement : Hospital clínic Barcelona Service : Endometriosis unit, ICGON
Ville : Barcelona Pays : SPAIN Présentateur : Oui
Balasch Juan - email : [email protected] Etablissement : Hospital clínic Service : Endometriosis unit, ICGON Ville :
Barcelona Pays : SPAIN Présentateur : Non
Carmona Francisco - email : [email protected] Etablissement : Hospital clínic Service : Endometriosis unit, ICGON
Ville : Barcelona Pays : SPAIN Présentateur : Non
Martínez-Serrano Maria José - email : [email protected] Etablissement : Hospital clínic Service : Endometriosis
unit, ICGON Ville : Barcelona Pays : SPAIN Présentateur : Non
Rius Mariona - email : [email protected] Etablissement : Hospital clínic Service : Endometriosis unit, ICGON Ville :
Barcelona Pays : SPAIN Présentateur : Non
Munrós Jordina - email : [email protected] Etablissement : Hospital clínic Service : Endometriosis unit, ICGON Ville :
Barcelona Pays : SPAIN Présentateur : Non
Martínez-Zamora Maria Àngels - email : [email protected] Etablissement : Hospital clínic Service : Endometriosis
unit, ICGON Ville : Barcelona Pays : SPAIN Présentateur : Non
Gracia Meritxell - email : [email protected] Etablissement : Hospital clínic Service : Endometriosis unit, ICGON
Ville : Barcelona Pays : SPAIN Présentateur : Non