Document Detail


Rectovaginal endometriosis -- a frequently missed diagnosis.
MedLine Citation:
PMID:  17896261     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess the proportion of women found to have rectovaginal endometriosis who underwent a previous laparoscopy with negative findings, a 5-year retrospective observational study was carried out at the University Hospital of Wales, Cardiff UK, from 2001 to 2005. A total of 61 cases with potential symptoms of rectovaginal endometriosis who underwent laparoscopy were identified. Rectovaginal endometriosis was identified in 16 of these cases. Previous laparoscopy was carried out in 33 of these 61 cases. In the group of women found to have rectovaginal endometriosis, 14 cases of rectovaginal endometriosis were not identified by pre-referral laparoscopy. This study supports the anecdotal idea that rectovaginal endometriosis is an often missed diagnosis at the time of laparoscopy. Diagnostic laparoscopy by generalist gynaecologists frequently fails to diagnose rectovaginal endometriosis. The routine use of rectal probes at laparoscopy is recommended to increase diagnostic accuracy.
Authors:
A N Griffiths; R N Koutsouridou; R J Penketh
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  27     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-09-26     Completed Date:  2008-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  605-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, University Hospital of Wales, Cardiff, UK. dr@anthony36.freeserve.co.uk
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MeSH Terms
Descriptor/Qualifier:
Diagnostic Errors
Endometriosis / diagnosis*
Female
Humans
Laparoscopy*
Predictive Value of Tests
Rectal Diseases / diagnosis*
Retrospective Studies
Sensitivity and Specificity
Vaginal Diseases / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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