A novel complementary method for ultrasonographic screening of deep endometriosis: a case series of 5 patients diagnosed with transvaginal strain elastography

Background: Ultrasound elastography displays information on tissue stiffness. Deep endometriotic nodules are hard fibrotic tissues. Patients recognized as having deep endometriosis only after several years from the onset of symptoms, therefore it is important to improve diagnostic capabilities. Cases: In this case series, our purpose was present applicability and feasibility transvaginal strain elastography. Five patients with various complaints compatible underwent ultrasound Using ‘International Endometriosis Analysis’ group (IDEA) protocol along elastography, preoperative examination clearly demonstrated size extent endometriosis. Conclusion: This ultrasonographic technique effective regardless whether ligaments female reproductive tract, or organs urinary intestinal tract were infiltrated.