“Kissing ovaries”: A sonographic sign of moderate to severe endometriosis

Ghezzi, Fabio; Raio, Luigi; Cromi, Antonella; Duwe, D. Günter; Beretta, P; Buttarelli, M; Mueller, Michael D.

doi:10.1016/j.fertnstert.2004.05.094

Cited by 91 publications

(39 citation statements)

References 24 publications

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“…Although recently Chapron et al (20) found a strong association with endometrioma and severity of deep endometriosis, the fixation of the ovary to the uterus is not as accurate in this kind of diagnosis as for example the presence of kissing ovaries (21). On the other hand ultrasonography is a useful tool in deep endometriosis because it can identify directly the endometriotic lesions in the different pelvic locations (22)(23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of pelvic adhesions in patients with endometrioma: the role of transvaginal ultrasonography

Guerriero

Ajossa

Garau

et al. 2010

Fertility and Sterility

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Section: Discussionmentioning

confidence: 99%

Diagnosis of pelvic adhesions in patients with endometrioma: the role of transvaginal ultrasonography

Guerriero

Ajossa

Garau

et al. 2010

Fertility and Sterility

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“…These blood products may cause adhesions to fold or pull the ovaries and fallopian tubes toward the midline, a finding known as the "kissing ovary" sign, or to encase the ovary, resulting in an appearance similar to that of a complex cystic solid mass (14)(15)(16). Because pyosalpinx and hematosalpinx have similar imaging characteristics, such as adhesions and the kissing ovary sign, it may be difficult to differentiate between them at US and CT. MR imaging findings are more specific and allow better characterization of blood products.…”

Section: Fallopian Tube Cystmentioning

confidence: 99%

Nonovarian Cystic Lesions of the Pelvis

Moyle

Kataoka²,

Nakai³

et al. 2010

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102

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Cystic disease in the female pelvis is common. The majority of cystic pelvic masses originate in the ovary, and they can range from simple, functional cysts to malignant ovarian tumors. Mimics of ovarian cystic masses include peritoneal inclusion cyst, paraovarian cyst, mucocele of the appendix, obstructed fallopian tube (eg, hydrosalpinx, pyosalpinx, and hematosalpinx), uterine leiomyoma, adenomyosis, spinal meningeal cyst, unicornuate uterus, lymphocele, cystic degeneration of lymph nodes, lymphangioleiomyomatosis, hematoma, and abscess. A cystic pelvic mass is nonovarian if it is separate from the normal ovaries. However, the different types of cystic pelvic masses may have similar imaging appearances, and radiologic evaluation may be of limited diagnostic use. It is important to understand the relationship of a mass with its anatomic location, identify normal ovaries at imaging, and relate imaging findings to the patient's clinical history to avoid misdiagnosis.

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“…ovaries so massive that they practically touch or 'kiss'. 60 Endometriosis can be associated with adenomyosis, which is characterized by the ingrowing of endometrium into the myometrium. It can present with pelvic pain, heavy menstrual bleeding, infertility, or it can be asymptomatic.…”

Section: Case 5: Ovarian Endometriomamentioning

confidence: 99%

Role of Ultrasound in the Assessment of Female Infertility

Sheikh¹

2014

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Ultrasound has made significant advancements in reproductive medicine, especially infertility of a female cause. It is a useful tool in the diagnosis and management of various disorders. Transvaginal ultrasonography in particular plays a vital role in infertility treatment as it allows for evaluation of normal and stimulated ovarian cycles, aspiration of follicles, and subse quent transfer of embryos. The use of color Doppler permits visualization of endometrial and intraovarian vessels, facilitating an understanding of normal and abnormal physiology of the uterus and ovaries. This article reviews a variety of case scenarios regarding female infertility that may be encountered in the practice of reproductive endocrinology. Ovarian causes such as polycystic ovarian syndrome, luteinized unruptured follicle, luteal phase defect, premature ovarian failure, and endometriosis, are discussed together with tubal and uterine causes of infertility. By using illustrative images, the reader will be able to correlate findings on Bmode, color Doppler and 3D ultrasound with various causes of female infertility.

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“Kissing ovaries”: A sonographic sign of moderate to severe endometriosis

Cited by 91 publications

References 24 publications

Diagnosis of pelvic adhesions in patients with endometrioma: the role of transvaginal ultrasonography

Diagnosis of pelvic adhesions in patients with endometrioma: the role of transvaginal ultrasonography

Nonovarian Cystic Lesions of the Pelvis

Role of Ultrasound in the Assessment of Female Infertility

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