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Deep infiltrating bowel endometriosis Endometriosis is a common disease of reproductive-age women with an estimated prevalence between 5 and 15%. Up to one-third of fertile-age women with severe endometriosis suffer from bowel involvement. Transvaginal ultrasonography has become a first-line diagnostic tool for the study of the pelvis and more specifically for the diagnosis of pelvic endometriosis. Accuracy of pelvic ultrasound for deep endometriosis increases with operator experience, but the difficulties in the differential diagnosis with diseases that can afflict the bowel tract remain a challenge. The great difficulty in complete sonographic evaluation of pelvic endometriosis is mostly related to the variance in the appearance of endometriosis lesions and the distorted anatomy secondary to adhesions and fibrosis. In fact, endometriosis induces an intense reactive sterile inflammation that lead to the formation of adhesions and reactive fibrosis. With the posterior vaginal fornix approach this patient showed a well defined hypoechoic nodule in the anterior Rectal wall at the level of torus uterinus infiltrating the muscularis and submucosal layer of lower rectum, suggesting deep infiltrating bowel endometriosis. #womenshealth #udaipur #PIMShospital #gynecology #Radiology #endometriosis #pelvichealth #menstrualpain #ultrasound #portableultrasound #privateultrasound #viralvideo #bestultrasound #nephrologist #azoospermia #doppler #physics #trending #electiveultrasound