Mathew Leonardi, MD


Superficial endometriosis

In this clip, fluid within the rectouterine pouch introduced following saline-infusion sonoPODography allows for appreciation of adhesions and a peritoneal pocket (enclosed fluid due to a defect in the peritoneum). These are two classic features of superficial endometriosis.

Retroverted uterus, positive sliding sign

The uterine fundus is being pushed cephalad by the transvaginal ultrasound probe, eliciting smooth sliding of the uterine fundus over the bowel. Some fluid is noted within the rectouterine pouch, which often suggests a non-obliterated pouch.