Caterina Exacoustos, M. D. , Mario Malzoni, M. D

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Ultrasound mapping system for the surgical management of deep infiltrating endometriosis Caterina Exacoustos, M.D., Mario Malzoni, M.D., Alessandra Di Giovanni, M.D., Lucia Lazzeri, M.D., Claudia Tosti, M.D., Felice Petraglia, M.D., Errico Zupi, M.D. Fertility and Sterility Volume 102, Issue 1, Pages 143-150.e2 (July 2014) DOI: 10.1016/j.fertnstert.2014.03.043 Copyright © 2014 Terms and Conditions

Figure 1 Mapping sheet of the “Endometriosis Surgical-Ultrasonographic System” (ESUS). The ESUS sheet is filled in by marking “yes” or “no” in each box of the chart corresponding to endometriotic locations. The location of the deep infiltrating endometriosis lesion could also be drawn on the anatomical scheme laterally. L = left; R = right. Fertility and Sterility 2014 102, 143-150.e2DOI: (10.1016/j.fertnstert.2014.03.043) Copyright © 2014 Terms and Conditions

Figure 2 Upper rectal endometriotic nodule. (A) Anatomical schematic showing an upper rectum deep infiltrating endometriosis nodule (red arrow) above the hypothetical horizontal plane passing at the level of the insertion of uterosacral ligaments and dividing low (caudal) and upper (cranial) rectum (green line). (B) Transvaginal ultrasound view showing the uterus in longitudinal section with an hypoechoic retrouterine lesion adherent to the rectosigmoid junction (red arrow). Fertility and Sterility 2014 102, 143-150.e2DOI: (10.1016/j.fertnstert.2014.03.043) Copyright © 2014 Terms and Conditions

Supplemental Figure 1 Deep bladder endometriotic nodule. (A) Anatomical schematic; transvaginal ultrasound longitudinal (B) and transverse (C) section. View of the same lesion. Note the round shaped nodule, bulging toward the lumen (B,C) and the adhesions of the vesicouterine pouch and infiltration of bladder wall. Fertility and Sterility 2014 102, 143-150.e2DOI: (10.1016/j.fertnstert.2014.03.043) Copyright © 2014 Terms and Conditions

Supplemental Figure 2 Low rectal endometriotic nodule. (A) Anatomical schematic showing a lower or caudal rectum deep infiltrating endometriosis nodule (red arrow). (B) Transvaginal ultrasound view of uterus in longitudinal section with an hypoechoic retrocervical lesion adherent to the low rectum and the uterine cervix (red arrow). Fertility and Sterility 2014 102, 143-150.e2DOI: (10.1016/j.fertnstert.2014.03.043) Copyright © 2014 Terms and Conditions