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Endoanal Imaging of Anorectal Cysts and Masses

  • Sthela M. Murad-Regadas
  • Giulio Aniello Santoro
Chapter

Abstract

Ultrasound scanning plays an important role in evaluating the extent of benign and malignant anorectal and pelvic diseases. This chapter discusses this important method for evaluating rare anorectal and pelvic neoplasias, one which allows for the quantification of the exact circumferential and longitudinal extension of the lesion into the rectal wall or adjacent tissue and the relation between the lesion and the sphincter muscles. This is the most important aspect to consider when planning surgical resection with or without sphincter-saving. In addition, the three-dimensional scanning mode is safer, making it possible to review the images posteriorly, in real time, as required by some lesions.

Keywords

Deep endometriosis 3-Dimensional sonography Retrorectal tumor Rare tumor 

References

  1. 1.
    Jenkins S, Olive DL, Haney AF. Endometriosis: pathogenetic implications of the anatomic distribution. Obstel Gynecol. 1986;67(3):335.Google Scholar
  2. 2.
    Cornillie FJ, Oosterlynck D, Lauweryns JM, Koninckx PR. Deeply infiltrating pelvic endometriosis: histology and clinical significance. Fertil Steril. 1990;53(6):978–83.CrossRefPubMedGoogle Scholar
  3. 3.
    Fedele L, Bianchi S, Portuese A, Borruto F, Dorta M. Transrectal ultrasonography in the assessment of rectovaginal endometriosis. Obstet Gynecol. 1998;91(3):444–8.CrossRefPubMedGoogle Scholar
  4. 4.
    Bazot M, Malzy P, Cortez A, Roseau G, Amouyal P, Daraï E. Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of pelvic endometriosis. Ultrasound Obstet Gynecol. 2004;24:180–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Delpy R, Barthet M, Gasmin M, Berdah S, Shojai R, Desjeux A, et al. Value of endorectal ultrasonography for diagnosing rectovaginal septal endometriosis infiltrating the rectum. Endoscopy. 2005;37(4):357–61.CrossRefPubMedGoogle Scholar
  6. 6.
    Bahr A, Paredes V, Gadonneix P, Etienney I, Salet-Lizée D, Villet R, Atienza P. Endorectal ultrasonography in predicting rectal wall infiltration in patients with deep pelvic endometriosis: a modern tool for an ancient disease. Dis Colon Rectum. 2006;49(6):869–75.CrossRefPubMedGoogle Scholar
  7. 7.
    Kołodziejczak M, Sudoł-Szopińska I, Santoro GA, Bielecki K, Wiączek A. Ultrasonographic evaluation of anal endometriosis: report of four cases. Tech Coloproctol. 2014;18(11):1099–04.CrossRefPubMedGoogle Scholar
  8. 8.
    Regadas FS, Murad-Regadas SM. 2- and 3-D ultrasonography of endometriosis, pelvic cyst, rectal solitary ulcer, muscle hypertrophy, rare neoplasms. In: Pescatori M, Regadas FS, Murad-Regadas SM, Zbar AP, editors. Imaging atlas of the pelvic floor and anorectal diseases. Milan: Springer-Verlag; 2008. p. 159–70.CrossRefGoogle Scholar
  9. 9.
    Chapron C, Santulli P, de Ziegler D, Noel JC, Anaf V, Streuli I, et al. Ovarian endometrioma: severe pelvic pain is associated with deeply infiltrating endometriosis. Hum Reprod. 2012;27(3):702–11.CrossRefPubMedGoogle Scholar
  10. 10.
    Downey DB, Fenster A, Williams JC. Clinical utility of threedimensional ultrasound. Radiographics. 2000;20(2):559–71.CrossRefPubMedGoogle Scholar
  11. 11.
    Raine-Fenning N, Jayaprakasan K, Deb S. Three-dimensional ultrasonographic characteristics of endometriomata. Ultrasound Obstet Gynecol. 2008;31(6):718–24.CrossRefPubMedGoogle Scholar
  12. 12.
    Guerriero S, Alcázar JL, Ajossa S, Pilloni M, Melis GB. Three-dimensional sonographic characteristics of deep endometriosis. J Ultrasound Med. 2009;28(8):1061–6.CrossRefPubMedGoogle Scholar
  13. 13.
    McCormick JT, Read TE, Akbari RP, Sklow B, Papaconstantinou HT, et al. Occult perineal endometrioma diagnosed by endoanal ultrasound and treated by excision: a report of 3 cases. J Reprod Med. 2007;52(8):733–6.PubMedGoogle Scholar
  14. 14.
    Barisic GI, Krivokapic ZV, Jovanovic DR. Perineal endometriosis in episiotomy scar with anal sphincter involvement: report of two cases and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(6):646–9.CrossRefPubMedGoogle Scholar
  15. 15.
    Dozois RD, Chiu LK. Retrorectal tumours. In: Nicholls RJ, Dozeis RR, editors. Surgery of the colon and rectum. New York: Churchill Livingston; 1997. p. 533–45.Google Scholar
  16. 16.
    Gordon PH. Retrorectal tumours. In: Gordon PH, Nivatvongs S, editors. Principles and practice of surgery for the colon, rectum and anus. St. Louis: Quality Medical Publishers; 1999. p. 427–45.Google Scholar
  17. 17.
    Hjemslad BM, Helwin EB. Tailgut cysts. Report of 53 cases. Am J Clin Pathol. 1988;89(2):139–47.CrossRefGoogle Scholar
  18. 18.
    Levine E, Batnitzky S. Computed tomography of sacral and perisacral lesions. Crit Rev Diagn Imaging. 1984;21(4):307–74.PubMedGoogle Scholar
  19. 19.
    Chow WH, Kwan WK, Ng WF. Endoscopic removal of leiomyoma of the colon. Hong Kong Med J. 1997;3(3):325–7.PubMedGoogle Scholar
  20. 20.
    De Palma GD, Rega M, Masone S, Siciliano S, Persico M, Salvatori F, et al. Lower gastrointestinal bleeding secondary to a rectal leiomyoma. World J Gastroenterol. 2009;15(14):1769–70.CrossRefPubMedGoogle Scholar
  21. 21.
    Miettinen M, Furlong M, Sarlomo-Rikala M, Burke A, Sobin LH, Lasota J. Gastrointestinal stromal tumors, intramural leiomyomas, and leiomyosarcomas in the rectum and anus: a clinicopathologic, immunohistochemical, and molecular genetic study of 144 cases. Am J Surg Pathol. 2001;25(9):1121–33.CrossRefPubMedGoogle Scholar
  22. 22.
    Miettinen M, Sarlomo-Rikala M, Sobin LH. Mesenchymal tumors of muscularis mucosae of colon and rectum are benign leiomyomas that should be separated from gastrointestinal stromal tumors–a clinicopathologic and immunohistochemical study of eighty-eight cases. Modern Pathol. 2001;14(10):950–6.CrossRefGoogle Scholar
  23. 23.
    Judson I, Demetri G. Advances in the treatment of gastrointestinal stromal tumours. Ann Oncol. 2007;18(Suppl 10):x20–4.CrossRefPubMedGoogle Scholar
  24. 24.
    American Joint Committee on Cancer. Gastrointestinal stromal tumor. In: Edge S, Byrd DR, Compton CC, Fritz AG, Greene FL, Trotti A, editors. AJCC cancer staging manual. 7th ed. New York: Springer; 2010. p. 175–80.CrossRefGoogle Scholar
  25. 25.
    Corless CL, Heinrich MC. Molecular pathobiology of gastrointestinal stromal sarcomas. Ann Rev Pathol. 2008;3:557–86.CrossRefGoogle Scholar
  26. 26.
    Eilber KS, Raz S. Benign cystic lesions of the vagina: a literature review. J Urol. 2003;170(3):717–22.CrossRefPubMedGoogle Scholar
  27. 27.
    Corton MM. Anatomy. In: Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM, editors. Williams gynecology. 3rd ed. New York: McGraw Hill Medical; 2016. p. 796–824.Google Scholar
  28. 28.
    American College of Radiology. ACR Appropriateness Criteria. Available at: http://www.acr.org/secondarymainmenucategories/quality_safety/app_criteria.aspx. (2001). Accessed 29 Feb 2016.
  29. 29.
    Fasih N, Prasad Shanbhogue AK, Macdonald DB, Fraser-Hill MA, Papadatos D, Kielar AZ, et al. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 2008;28(7):1931–48.CrossRefPubMedGoogle Scholar
  30. 30.
    Lee MC, Lee SD, Kuo HT, Huang TW. Obstructive leiomyoma of the female urethra: report of a case. J Urol. 1995;153(2):420–1. Review.Google Scholar
  31. 31.
    Uchida K, Fukuta F, Ando M, Miiyake M. Female urethral hemangioma. J Urol. 2001;166(3):1008.CrossRefPubMedGoogle Scholar
  32. 32.
    Aita GA, Begliomini H, Mattos Jr D. Fibroepithelial polyp of the urethra. Int Braz J Urol. 2005;31(2):155–6.CrossRefPubMedGoogle Scholar
  33. 33.
    Dodd GD, Rutledge F, Wallace S. Postoperative pelvic lymphocysts. Am J Roentgenol Radium Ther Nucl Med. 1970;108(2):312–23.CrossRefPubMedGoogle Scholar
  34. 34.
    Petru E, Tamussino K, Lahousen M, Winter R, Pickel H, Haas J. Pelvic and paraaortic lymphocysts after radical surgery because of cervical and ovarian cancer. Am J Obstet Gynecol. 1989;161(4):937–41.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Sthela M. Murad-Regadas
    • 1
    • 2
    • 3
  • Giulio Aniello Santoro
    • 4
  1. 1.Department of Surgery, Medical School of Federal University of CearaFortalezaBrazil
  2. 2.Unit of Pelvic Floor and Anorectal Physiology, Clinical HospitalMedical School of Federal University of CearáFortalezaBrazil
  3. 3.Unit of Pelvic Floor of Sao Carlos HospitalFortalezaBrazil
  4. 4.Pelvic Floor Unit, Department of SurgeryTreviso Regional HospitalTrevisoItaly

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