OBJECTIVE: To evaluate whether the presence of kissing ovaries at ultrasound is a marker for endometriosis and whether it correlates with the severity of the disease. DESIGN: Prospective observational study. SETTING: Gynecologic departments of two university hospitals. PATIENT(S): A total of 722 consecutive premenopausal women who had laparoscopic surgery for an adnexal mass or suspected pelvic endometriosis. INTERVENTION(S): Preoperative ultrasound evaluation and laparoscopic surgery. MAIN OUTCOME MEASURE(S): Diagnostic and predictive value of ultrasound identification of kissing ovaries in the detection of endometriosis. RESULT(S): Kissing ovaries were diagnosed at ultrasound and confirmed laparoscopically in 32 patients. Of these, 27 had moderate to severe endometriosis and five others had benign adnexal masses. Bowel (18.5% vs. 2.5%) and fallopian tube (92.6% vs. 33%) endometriosis were significantly more frequent in patients with kissing ovaries than in patients without kissing ovaries. In infertile patients (n = 145), kissing ovaries were associated with a higher proportion of women with fallopian tube obstruction (80% vs. 8.6%). Considering patients with moderate to severe endometriosis (n = 189), the median (range) revised American Fertility Society score (74 [32-148] vs. 35 [16-146]) and the operative time (115 minutes [65-245 minutes] vs. 50 [15-180 minutes]) were significantly higher in patients with than in those without kissing ovaries. CONCLUSION(S): The detection of kissing ovaries at ultrasound is strongly associated with the presence of endometriosis and is a marker of the most severe form of this disease.
OBJECTIVE: To evaluate whether the presence of kissing ovaries at ultrasound is a marker for endometriosis and whether it correlates with the severity of the disease. DESIGN: Prospective observational study. SETTING: Gynecologic departments of two university hospitals. PATIENT(S): A total of 722 consecutive premenopausal women who had laparoscopic surgery for an adnexal mass or suspected pelvic endometriosis. INTERVENTION(S): Preoperative ultrasound evaluation and laparoscopic surgery. MAIN OUTCOME MEASURE(S): Diagnostic and predictive value of ultrasound identification of kissing ovaries in the detection of endometriosis. RESULT(S): Kissing ovaries were diagnosed at ultrasound and confirmed laparoscopically in 32 patients. Of these, 27 had moderate to severe endometriosis and five others had benign adnexal masses. Bowel (18.5% vs. 2.5%) and fallopian tube (92.6% vs. 33%) endometriosis were significantly more frequent in patients with kissing ovaries than in patients without kissing ovaries. In infertilepatients (n = 145), kissing ovaries were associated with a higher proportion of women with fallopian tube obstruction (80% vs. 8.6%). Considering patients with moderate to severe endometriosis (n = 189), the median (range) revised American Fertility Society score (74 [32-148] vs. 35 [16-146]) and the operative time (115 minutes [65-245 minutes] vs. 50 [15-180 minutes]) were significantly higher in patients with than in those without kissing ovaries. CONCLUSION(S): The detection of kissing ovaries at ultrasound is strongly associated with the presence of endometriosis and is a marker of the most severe form of this disease.
Authors: Elizabeth Ball; Babu Karavadra; Bethany Jade Kremer-Yeatman; Connor Mustard; Kim May Lee; Sharandeep Bhogal; Julie Dodds; Andrew W Horne; John Allotey; Carol Rivas Journal: Reprod Fertil Date: 2021-03-03
Authors: A Vigueras Smith; R Cabrera; C Trippia; M Tessman Zomer; W Kondo; H Ferreira; L Carttaxo Da Silva; R Sumak Journal: Facts Views Vis Obgyn Date: 2021-12
Authors: Pietro Valerio Foti; Renato Farina; Stefano Palmucci; Ilenia Anna Agata Vizzini; Norma Libertini; Maria Coronella; Saveria Spadola; Rosario Caltabiano; Marco Iraci; Antonio Basile; Pietro Milone; Antonio Cianci; Giovanni Carlo Ettorre Journal: Insights Imaging Date: 2018-02-15