Adenomyosis - diffuse

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Chronic pelvic pain and dysmenorrhoea.

Patient Data

Age: 35 years
Gender: Female
MRI

The uterus appears bulky with uneven contour. The endometrial stripe appears thick and irregular. It measures 1.6 cm in its widest part. Diffuse thickening of the junctional zone is seen measuring ~ 2.25 cm in maximum thickness showing scattered multiple variable sized nodular and linear T2W hyperintense foci. They are randomly diffusely scattered within it, especially in the subendometrial region. Multiple small cervical cysts are seen representing Nabothian cysts.

Case Discussion

The radiological features are impressive of a case of diffuse uterine adenomyosis.

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Case information

rID: 65072
Published: 21st Dec 2018
Last edited: 24th Dec 2018
System: Gynaecology
Inclusion in quiz mode: Included

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