Uterine adenomyosis with incidental pelvic kidney

Case contributed by Amr Farouk , 1 Aug 2017
Diagnosis almost certain
Changed by Daniel J Bell, 5 Aug 2017

Updates to Study Attributes

Findings was changed:

Enlarged uterus showing diffuse thickening of the uterine junctional zone measuring 1.2 cm at maximal thickness with a large myometrial well defined-defined lobulated mass lesion at the right postero-superiorposterosuperior wall. It appears of intermediate T1 and T2 signal with multiple cystic foci within. SuchThis focal myometrial lesion is seen deforming the uterine contour and bulging into the endometrial cavity. Another similar, yet smaller mass is seen at the posterior fundus posterior to the dominant mass causing posterior uterine surface contour bulge.​  The endometrial cavity is distended with intraluminal high fluid signal and intermediate T2 signal core continuing caudally dilating the cervical canal.

Ectopic left pelvic kidney is seen at a left para-midline pre-sacralparamedian presacral location showing a few cortical renal cysts. 

Updates to Case Attributes

Presentation was changed:
Pelvic pain and vaginal spotting.
Body was changed:

Enlarged uterus with thickened junctional zone mounting towith focal myometrial lesions representing adenomyosis with focal adenomyomas.

  • -<p>Enlarged uterus with thickened junctional zone mounting to focal myometrial lesions representing adenomyosis with focal adenomyomas.</p>
  • +<p>Enlarged uterus with thickened junctional zone with focal myometrial lesions representing adenomyosis with focal adenomyomas.</p>

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