Deep Infiltrating Bowel Endometriosis Detection by TVUS Tutorial

This video tutorial is the first one in a future series of tutorials on gynaecological and obstetrical ultrasound.
This tutorial covers the diagnosis of bowel endometriosis nodules at a basic level.
Diagnosis of DIE (deep infiltrating endometriosis) has improved significantly over the last few years and the aim of the tutorials is to make the wider ultrasound community aware of the progress in this field and to provide a first introduction on how to make the diagnosis of a bowel nodule by ultrasound.
Comment or ask questions. This will encourage us to make further tutorials.

[@shriraamayyar7744]

thank you for this beautiful video.. it is a wonderful explanation added. I'm a Laparoscopic Gynaecological Surgeon and this One video will go a long way to detect simple things.. As u rightly said "we need and eye to detect the same"..thank you again. your video will definitely make my surgical skills and diagnosis to serve my needy patients better.. - Dr. shriraam Ayyar

[@tyriexs5]

Why OBGYN don't take this seriously?

[@ob2be1]

Great tutorial, I will be sure to ask my gynecologist about this examination. I've been experiencing severe rectal pain during my period and a weird pressure that is quite uncomfortable.

[@Faithfully103]

Did you ever find out what was wrong?

[@Bobbypiins]

How’d it go :)?

[@leigharolin1739]

Omg I’m dying right now. I’m on my period and my entire abdomen is swollen and even my bowel has a deep achy pain

[@carolmutua5266]

@@leigharolin1739 Its worth getting it checked out. I spent 5 long painful years having a lot of bowel problems made worse during my periods. I went to 3 different gastroenterologists who never found anything wrong. Decided to go ahead withlaporascopy surgery with my new gynae and guess what.....i had stage 4 deep infiltrating bowel endometriosis. It was so bad and my organs were so stuck to each other from my appendix to my rectum. For what its worth i'm glad I have the answers now.

[@krystarise7021]

@@carolmutua5266 what did you do about it? Are your organs now unstuck?

[@mariaguajardo2270]

Thank you so much for this video!! I’m a physician and it’s very helpful for me and my ginecologist because i have endometriosis and WHERE i live a lot of doctors don’t see all the problems and pain that means to live with endo

[@burningbright5039]

3 years ago I was hospitalized and diagnosed with colitis of the bowels My symptoms: Nausea Stomach pain Food felt like not digestion Hunger pains Fatigue Hot flashes Blood from rectum while pooping Near menstrual cycle Today I am experiencing same symptoms Just started my period last night But other symptoms for several days now I feel like I’m dying Scared to go to ER because of covid mandates mask vaccine testing no visitors I believe I was misdiagnosed I will call gynecologist today

[@burningbright5039]

I also have diarrhea around menstrual cycle and always anal discharge for several years now I have to use wipes constantly and it’s embarrassing Never told anyone this Embarrassing 😞😞😞

[@edcarter9069]

Your entire series has been superb. I am a radiologist in the US and am in the process of implementing the 4 step ISUOG exam that you detail. I am interested in whether you use bowel preparation routinely and what regimen you use. Also, do you identify the patients for a dedicated endometriosis exam prior to scheduling on the basis of history or do you extend your routine pelvic exam on the basis of findings at time of examination. Thank you for sharing your considerable expertise.

[@jojober1980]

I have/have severe problems wit my bowers even today after 40 yrs of Endo, it was always in my bowlers. Even after hysterectomy @32 yrs old the damage is done, I had severe Attucks of abdominal,pain when even slightly constipated due to adhesions and structure of vowels due yo lesions, Scar tissue. I take melds to make my stool soft so I cannot ever get constipated again.still aches in that area too. AEndometriosis sux!!!

[@BURGO1979]

Thank you Sofie. Great lecture!

[@abuali808]

Hi I am a radiologist,It's absolutely nice tutorial but please just carry on and add another videos to cover the other expected sites of endometriosis. Again, it's really nice and useful tutorial

[@FT-bm9cs]

Excellent lecture. Thanks.

[@LP-fw3wl]

Anyone who experience rectal pain, constipation especially during cycle should consider checking for endo and get exicision LAP so they can shave it off from your rectum. If you leave it too late, it can not be shaved and need a low anterior resection ie remove of rectum, you will end up with low antetior resection syndrome which is very painful condition to leave with ie no quality of life ( 15+ bowel movements daily). Please do get LAP asap if you have bowel endo before its too late

[@pokopoku6657]

It's great !!!! Thank you for this useful lecture.

[@tanishkalamprecht9204]

thank you so much for this valuable info!!

[@muhammadnaumankhan8134]

Geart thanks for ur work mam

[@YonUndone3064]

I have subscribed to your channel just now. Thank you for the information. Can you tell me please, are there any foods that can worsen endometriosis or make the symptoms less terrible?

[@LollyB1963]

He did a full hysterectomy at 34 and said there was scar tissue along the muscle along the spinal wall.. he had to leave some scar tissue due to spinal wall could suffer complications with paralyze me.

[@dinapaoloni3177]

Thank you very much 🙏

[@PatientVoicesMatter]

My transvaginal US was normal but I had deep infiltrating endometriosis (DIE) everywhere. It was in my POD and on colon, rectum, inside my left ureter.

[@pietpost1433]

How did you find out ?

[@tfoxen7518]

Can you tell us how the endometriosis was finally detected?

[@rickichase3438]

I know when my hysterectomy was done, I had bladder damage from trying to remove endometriosis. I know it was severe. It was an emergency hysterectomy because of it.. I now was told years later that I have to have my colon removed

[@me9860]

Why are we not told to do a cleanse the same way before we see the proctologist when we are concerned about endometriosis? I would have done that. They said they could not see my ovaries because of my bowels. They acted like it was no big deal. But how do i follow ? With what type of doctor is best?

[@lindanorris2455]

I had ADHESIONS on my bowel, upper abdomen, embedded ovaries, everything was covered in Endo. Everything!

[@LondonKLuv]

How was it removed surgery?

[@d.nichole4753]

Wow

[@samcooch3604]

Thank you!!!

[@boop8127]

I must have endo snd or adhesions. Blood would come out my rectum. Pooping would be excruciating like something was ripping my intestine’s open. If i get a hysterectomy, nothing will surprise me if they say how jacked up i sm

[@lanettedanburg4797]

Can a bowel lesion be near an ovary where it can make it look like a mass on the ovary ?? Two years ago an ultrasound showed a solid appearing mass on or near my left ovary -- It took me 19 years to get a doctor to do a lap. Ends up I have endometriosis on a major blood vessel on my bowel, my left ovary bent out of shape and stuck, my whole uterus attached to my bowels etc and adenomyosis.. my uterus is the size of being 4 months pregnant.

[@dalroizoltar1]

super gedaan hoe ist daar down under :-)

[@wmd40]

Wow my OBGYN acted like it was impossible to detect endo without laparoscopy... I have had severe symptoms of RVE for 17 years. Including severe stabbing pains in my rectum (randomly while just sitting and while using the bathroom) that only occur during my period. And my OBGYN just brushed it off and said nothing can be done. I'm so upset.

[@allycarlsten8440]

Did you find out if it was bowel endometriosis?

[@wmd40]

@@allycarlsten8440 no because everyone's always brushed it off. But I finally got so upset that I called my primary care doctor and told them that I think there's something serious going on and I think it's Endo and described the stabbing rectal pains. And that my OBGYN didn't take it seriously. I asked for a referral to a university hospital an hour away because it's probably the best option, I live in NY but 7 hours from NYC which sucks. So they gave me an appointment tomorrow to talk about it and I'm just gonna tell them everything. I honestly have a problem with minimizing my pain and I never realized that endo could cause all these issues that I've had for most of my life. I'm only 30. My mom had a fibroid that was 11cm across and endo and had her period for 3 years straight... hysterectomy when she was 44. So mad at that OBGYN right now for acting like I'm fine and the only option was birth control (literally tried that at least 5 times and it always made me feel worse)

[@pietpost1433]

​@@wmd40 how did it go ?

[@ayetuktik]

love love

[@donnamicko5951]

Join LUNG/Endometriosis Thoracic Endo. I founded nearly 2 yrs. ago. Please come visit us!

[@LollyB1963]

I was diagnosed with fourth stage of endometriosis and it was in my bowel

[@thedistracti0n993]

Please tell me how you are doing, and what you have done for this. I suspect my fiancé has this problem, and we are meeting with surgeons soon.

[@katieschwartz9689]

did they have to remove your bowel?

[@LollyB1963]

No I didn’t have to remove my bowel . They a total hysterectomy . I was 34 at that time . Hot flashes came early I’m 58 now still get the occasional hot flash . I heard they don’t do hysterectomy anymore.

[@ericernest2099]

Thanks You add something in me