IMR Press / CEOG / Volume 49 / Issue 1 / DOI: 10.31083/j.ceog4901002
Open Access Case Report
A novel complementary method for ultrasonographic screening of deep endometriosis: a case series of 5 patients diagnosed with transvaginal strain elastography
Show Less
1 Department of Obstetrics and Gynecology, Faculty of Medicine, Semmelweis University, 1088 Budapest, Hungary
2 Department of Clinical Studies in Obstetrics and Gynecology, Faculty of Health Sciences, Semmelweis University, 1088 Budapest, Hungary (Gábor Szabó)
Academic Editor: Simone Ferrero
Clin. Exp. Obstet. Gynecol. 2022, 49(1), 1;
Submitted: 29 November 2020 | Revised: 13 January 2021 | Accepted: 19 January 2021 | Published: 6 January 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Background: Ultrasound elastography displays information on tissue stiffness. Deep endometriotic nodules are hard fibrotic tissues. Patients are recognized as having deep endometriosis only after several years from the onset of symptoms, therefore it is important to improve diagnostic capabilities. Cases: In this case series, our purpose was to present the applicability and feasibility of transvaginal strain elastography. Five patients with various complaints compatible with endometriosis underwent transvaginal ultrasound with strain elastography. Using the ‘International Deep Endometriosis Analysis’ group (IDEA) protocol along with transvaginal strain elastography, preoperative examination clearly demonstrated the size and extent of deep endometriosis. Conclusion: This ultrasonographic technique was effective regardless of whether the ligaments of the female reproductive tract, or the organs of the urinary and intestinal tract were infiltrated.

Ultrasound elastography
Strain elastography
IDEA protocol
Deep endometriosis
Fig. 1.
Back to top