Sliding sign The loss of the normal sliding sign is a dynamic sonographic sign performed during transvaginal ultrasound (TVS) of women with suspected pelvic peritoneal endometriosis. It indicates pouch of Douglas (POD) involvement and obliteration and is suggestive of deep infiltrating endometriosis (DIE). This technique involves using gentle probe pressure to assess whether the anterior rectum and sigmoid colon glides freely across the posterior aspect of the upper uterus, cervix and vaginal wa
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Sliding sign The loss of the normal sliding sign is a dynamic sonogra…
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Understanding endometriosis through ultrasound isn’t just about what you see, but how you move! 🔄💡 The ‘sliding sign’ technique involves gently pressing the transvaginal ultrasound probe against the uterus to see if it “slides” away for the adjacent bowel. Sometimes, pressure can also be applied with your free hand on the patients abdomen to move the funds of the uterus. This is used to detect pouch of Douglas obliteration which may be present due to extensive adhesions due to endometriosis in
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New #UOGJournal video abstract on the prevalence of negative sliding sign, representing pouch of Douglas obliteration, during pelvic transvaginal ultrasound for any indication https://bit.ly/2JuIZ1u #endometriosis | International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)
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Retroverted uterus, positive sliding sign | Contemporary OB/GYN
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