Endometriosis ~ Abdominal Pain ~ Endo ~ Scar Tissue ~ Adhesions ~ Infertility ~ Hysterectomy

Friday, April 14, 2006

Characteristic images of deeply infiltrating rectosigmoid endometriosis on transvaginal and transrectal ultrasonography

Kaori Koga1, Yutaka Osuga1,3, Tetsu Yano1, Mikio Momoeda1, Osamu Yoshino1, Yasushi Hirota1, Koji Kugu1, Osamu Nishii1, Osamu Tsutsumi1,2 and Yuji Taketani1

1 Department of Obstetrics and Gynecology, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655 and 2 CREST Japan Science and Technology, 4-1-8 Honmachi, Kawaguchi 332-0012, Japan

Abstract
BACKGROUND: To evaluate the usefulness of transvaginal and transrectal ultrasonography for diagnosis and management of deeply infiltrating rectosigmoid endometriosis.
METHODS: A series of six patients (aged 32–39 years) with rectosigmoid endometriosis underwent transvaginal and transrectal ultrasonography. In three patients undergoing surgical resection of the intestine, the ultrasonographic findings were compared with macroscopic and microscopic findings. In one patient, sequential observations of the lesion using ultrasonography were conducted before and after medical treatment and following childbirth.
RESULTS: In all cases, the lesion was detected as a hypoechoic irregular-shaped area surrounded by a hyperechoic rim located posterior to the uterus, with size ranging from 18 x 17 to 29 x 28 mm in diameter. The comparison of the ultrasonographical findings with histology revealed that the hypoechoic irregular-shaped area corresponded to a layer of hypertrophic muscularis propria of the lesion, while the hyperechoic rim represented the layer including the mucosa, submucosa and serosa. In one patient, the lesion decreased in size and lost its central hypoechoic area after childbirth in association with pain relief.
CONCLUSIONS: Transvaginal and transrectal ultrasonography provides characteristic appearances for rectosigmoid endometriosis that correlate well with its histological findings.
The procedures would be useful in the management of rectosigmoid endometriosis.
Key words: endometriosis/rectum/ultrasound
V. Anaf, I. El Nakadi, Ph. Simon, J. Van de Stadt, I. Fayt, Th. Simonart, and J.-C. NoelPreferential infiltration of large bowel endometriosis along the nerves of the colonHum. Reprod., April 1, 2004; 19(4): 996 - 1002.
[Abstract] [Full Text] [PDF]
http://humrep.oxfordjournals.org/cgi/content/full/18/6/1328

1 comment:

IHRT said...

Doc_Kru
Master

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Click here to see the profile for Doc_Kru Visit http://www.EndoGyn.com Send email to Doc_Kru Send private message to Doc_Kru Find more posts by Doc_Kru Edit or delete this message Reply w/Quote Posted Wednesday, August 9, 2006 @ 02:34 AM ICQ

I am really wondering...

Quote:
"he has no office and is doing, " bussiness" only visa a lap top computer in an apartment in Mainz"...

What kind of business ?
How can I earn money for a "business" ?
How can I survive ?
Do I get paid by doctors like they are getting money from all the doctors in US, which are afraid, that I would be taking them all the patients ?
Do they think, they are so important that I have to play a stupid game with and for them ?

They have destroyed all the business I built up in 10 years for promotion of a hospital in the Caymans that does not really exist and function, and has even not one adhesiolysis a month !

So ARD patients can go there ? For what ? For warm sands and breezes ?
http://www.adhesionrelateddisorder.com/ardnews.html

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This is how intelligent human see, what is happening

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Name:
XX, Operations Manager

Message:
Dr. Daniel Kruschinski is one of our Editorial Advisors for OBGYN.net and recently I received a rather disturbing email with rumours of some pretty outlandish claims and accusations against Dr. Kruschinski. (please see his CV here:
http://www.obgyn.net/all_advisors/D_Kruschinski.htm

Upon searching for an answer to reply with I found this website which is rather shocking in it\'s vicious slanderous attack against Dr. Kruschinski, EndoGyn and others.

At the very least, the person posting this information should be sued for slander. They don\'t give their name or any identity BUT they sure seem to think that the Grand Cayman clinic is the replacement. See this page for the contrasting information.

http://www.adhesionrelateddisorder.com/ardnews.html

I hope you understand my point but just in case, here is a summary: The website, www.drkruschinski.org, abdolift.org has been created for the purpose of making slanderous claims against Dr. Kruschinski and the EndoGyn clinics and practitioners and to promote a similar clinic in Grand Cayman Islands.

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And obviously there are doctors behind them to ruin me and EndoGyn

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Quote:

http://ihrt.blogspot.com/2006/05/where-best-surgeons-in-world-perform.html

*The costs of surgery are lower in the Caymans, * the weather is magnificent and for the US patients, *the flights are minimal!
*NO more long, drawn out flights,
*NO more issues with translations,
*NO more currency exchanges,
*NO more trying to figure out foriegn medications and customs,
*NO more concern of the weather for scheduling a surgery, *
*NO more having to wonder where to spend your recuperation, as you will be in the "Paradise" of beaches, sands, palm trees, and tropical breezes!
*For persons afflicted with ARD, the answers to our surgical needs is to secure the highest quality adhesiolysis available in the world in only TWO places: "Grand Cayman Island and Italy!"
*Don't forget that we can assist you in securing a FREE flight to anywhere along the southern coast of the USA where you can catch a flight to the Caymans and back!
*You will find information about adhesiolysis with Dr. Harry Reich here:http://www.adhesionrelateddisorder.com/ardnews.html (This infrastructure has been set up to secure a surgery in the Caymans with ONLY Dr. Reich)
*Offering Hope and Help to the Victims of ARD Worldwide ADHESION RELATED DISORDER Specialty Gynechological and Adhesiolysis Endoscopic Surgery NOW Being Performed at The Chrissie Tomlinson Memorial Hospital Grand Cayman, Cayman Islands Surgeries are being performed with the use of: Confluent SprayGel Adhesion Barrier http://www.confluentsurgical.com
*Remember currently the costs of surgery are lower in the Caymans then at Endogyn
*If you want to be as well as you can get from an adhesiolysis in the Caymans, secure it with Dr.Reich!

posted by IHRT at 8:50 AM

April 2003 Beverly Doucette was runing out of work as patient's advocate as ALL the patients came to EndoGyn for surgery (around 100 a year) and no one wanted to go to her favorite surgeons... and the US surgeons were runing out of work ...

She found Dawn Rose, that was just rejected from me to be THE ONLY advocate for me,
which turned her from praising me " her HERO" to "a laying piece of shit".

And later on, they even wrote I am "Nazi" and "Hitler"... and now they don't believe I had a yewish father that survived Ausschwitz, while some of his family were killed there?

So they don't know all about me... even if they opened my private life for all...

If you both or one of you is yewish, you are a shame for all yews !

Anyway you are a shame for America as your interactions are at the lowest level a human can get to...

After 3 years of attacks I had to close the EndoGyn office and appartments that I built for patients coming for adhesiolysis procedure, as less patients from US were coming in. All patients appartments and office and everythiung else, around 1 Million Euro and I am at bankruptcy.

Thus I couldn’t pay bills and thus have some enemies here, who cooperate with BD / DR and make some pictures for them and give other informations, false accusation, manipulating.

Not a patient made photos, this were those informants.

But all the garbage is PAST.

EndoGyn is not a buidling and not a facility.

It has to start new avoid mistakes done before.

We continue to perform surgeries and probably in a better facility than it was before and more secure for patients.

Patients are coming, even if DB / DR don't believe it and try to make every one to believe that too.

That is what I call ignorant, even if they see the evidence, they post I am in Mainz with an computer…

Mainz is the home of my ex wife that I divorced 1996. Maybe she posts for me from Mainz ???

That I still function, whatever they do and say, makes them even more angry and they attack even more, but those attacks lately are nothing than garbage and not effective, as I have nothing to loose anymore…

But your doctors hiding themselves cowardly behind you and those joining your “conspiracy team” HAVE something to loose…

Those patients, believing this bullshit, anyway would not even understand an informed consent as Dawn Rose didn't understand it and what I was telling her.

And their attacks on the german board and patients ... no chance to win there !

No one believes garbage of mentally ill and drugs-addicted ...

So let's wait and see...

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Daniel Kruschinski, MD)