Adenomyosis

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Irregular uterine bleeding and dysmenorrhoea.

Patient Data

Age: 45 years
Gender: Female
MRI

Diffusely mildly enlarged anteverted uterus. Diffuse thickening of the junctional zone measuring 26 mm in maximum thickness. It has multiple variable sized linear and nodular T2W hyperintense foci diffusely scattered within it, especially in the subendometerial region. Some foci appear of a high signal pattern on T1WI indicating menstrual hemorrhage within the ectopic endometrial tissue. The radiological features are matching with adenomyosis. Small cervical Nabothian cyst is noted.

Case Discussion

MRI features are impressive of diffuse uterine adenomyosis.

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Case information

rID: 65071
Published: 21st Dec 2018
Last edited: 14th Aug 2019
System: Gynaecology
Inclusion in quiz mode: Included

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