Page 28 - ESHRE2019

RECTOSIGMOID ENDOMETRIOSIS
• Rectosigmoid endometriotic nodules appear as nodular, solid, hypoechoic lesions, adjacent to and/or penetrating the muscularis propria
• These nodules usually cause a thickening of the intestinal wall. • Hyperechoic foci may sometimes be present within the nodule.
RECTOSIGMOID ENDOMETRIOSIS
Retraction and adhesions are often present; this results in the so‐called ‘Indian headdress’ or ‘comet’ sign.
Indian headdress sign
comet sign
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