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• W2897540569 abstract "The clinically diagnosed vaginal posterior wall prolapse is often caused by three different structural abnormalities, namely, rectocele, perineal hyperactivity, and enterocele. The objective of this study is to investigate the ultrasonic diagnosis and differential diagnosis of the enterocele in postpartum female. More than 900 cases of female received a routine pelvic floor ultrasonic examination 42-60 days after childbirth. The volume data was obtained when each examinee was under a rest condition and on maximum Valsalva, the data was saved before it was analysed offline. Among 900 cases of postpartum female, there were 280 cases of clinically-found vaginal posterior wall prolapse, in which there were 8 cases of enterocele, 74 cases of rectocele, 95 cases of perineal hyperactivity and 103 cases were found by ultrasound to have no abnormality. Two-dimensional ultrasound of enterocele is characterised by irregular echoes or ground-glass echoes. When the hernation is the small intestine, peristalsis and gas-like scintillation echoes are visible and sometimes the fluid inside the peritoneal cavity enters the vagina. It is easy to distinguish the enterocele from the rectocele when rectal ampulla is identified. The rectal ampulla is generally wedge-shape hyperechogenic with distal shadowing when filled with stool and air. Peristalsis of the rectal ampulla is not obvious as well as small intestine. Three-dimensional ultrasound axial plane shows the irregular vaginal mass which is not connected with the anal canal. The anal canal wall is continuous and complete. Some studies have shown that transvaginal ultrasonography and defecography have a better comparability during diagnosis of enterocele, so the study of application of transvaginal ultrasound in the diagnosis of enterocele will be conducive to clinical treatment decision-making, and will improve the efficiency of treatment. This study shows that perineal two-dimensional ultrasound and three-dimensional ultrasound are effective imaging methods for the diagnosis of enterocele. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
• W2897540569 created "2018-10-26" @default.
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• W2897540569 date "2018-10-01" @default.
• W2897540569 modified "2023-10-18" @default.
• W2897540569 title "OP20.08: Ultrasonic diagnosis and differential diagnosis of enterocele in postpartum female" @default.
• W2897540569 doi "https://doi.org/10.1002/uog.19582" @default.
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