Faculty Collaboration Database

Tubulovillous Adenoma Identified on Transvaginal Ultrasound: A Case Report. J Minim Invasive Gynecol 2023 Jul;30(7):593-595

Date

03/23/2023

Pubmed ID

36948244

DOI

10.1016/j.jmig.2023.03.009

Scopus ID

2-s2.0-85151495803 (requires institutional sign-in at Scopus site)

Abstract

Tubulovillous adenomas are colonic polyps with a relatively high potential for malignancy that are typically identified on colonoscopy. We present a case of colonic tubulovillous adenoma first discovered on gynecologic transvaginal ultrasound. The patient was a 42-year-old gravida 2 para 2 female with symptoms suggestive of endometriosis, including left lower quadrant pain, heavy menstrual bleeding, urinary urgency, and dyschezia. The patient underwent transvaginal ultrasound following the International Deep Endometriosis Analysis protocol that identified an intermediate echogenicity, vascular solid mass of the rectosigmoid lumen. Consequent colonoscopy and polypectomy revealed tubulovillous tissue negative for high-grade dysplasia or malignancy. This case report highlights the importance of gynecologists developing an acute awareness of colonic pathologies that might be encountered while performing endometriosis ultrasounds with direct assessment of the rectum.

Author List

Kerschner A, Briggs M, Calata J, Bhatt K, Beran B

Authors

Benjamin D. Beran MD Associate Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
Kathleen Bhatt MD Assistant Professor in the Radiology department at Medical College of Wisconsin
Morgan Briggs MD Instructor in the Obstetrics and Gynecology department at Medical College of Wisconsin
Jed Calata MD Assistant Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adenoma
Adult
Colonic Polyps
Colonoscopy
Endometriosis
Female
Humans
Ultrasonography