Schematic drawings and ultrasound images demonstrating isolated deep infiltrating endometriosis in the rectovaginal septum (RVS, The green ellipses encircle the endometriotic nodules in the RVS. , bowel wall; , vaginal wal
Vaginal, rectal and combined rectovaginal examination helps to correlate the findings better. Please don’t forget the basic gynecological exam .of patients, I remember the early 80’s , our fingers used to give us a lot of information, we could have been wrong at times , use of Ultrasound has made the diagnosis easier. Thanks to great Ian Donald, the Scottish obstetrician for having invented it for us. May his soul rest in peace.