Presentation
The patient presented to the emergency department with heavy vaginal bleeding and pelvic pain for two weeks. The patient informed a doctor that she placed progesterone implant in her right arm five months ago.
Patient Data
Uterine parenchyma is heterogeneous with streaky posterior shadowing. There is a globular uterine enlargement with prominent in the posterior fundus. Multiple hypoechoic lesions in the posterior uterine fundus.
Case Discussion
Clinical presentation (heavy vaginal bleeding, pelvic pain) and the constellation of sonographic findings (uterine globular appearance, classic fan-shaped shadowing) suggestive of adenomyosis. Small uterine leiomyomas are not excluded. Further evaluation with pelvic MRI can be obtained for additional information as clinically warranted.
Case co-author: Dr. Morlie L. Wang MD, MPH.
Unable to process the form. Check for errors and try again.