Adenomyosis-scar endometriosis

Case contributed by Dr Ammar Haouimi

Presentation

Had caesarian section 5 years ago, complaining of cyclic pelvic pain with palpable nodular mass.

Patient Data

Age: 45 years
Gender: Female
MRI

The uterus is diffusely enlarged with thickening of the junctional zone from 20 mm to 25 mm, containing multiple foci of high T1WI and T2WI signal.

A nodular mass is noted within the right rectus muscle, composed of punctate foci of very high signal areas on T1WI, inhomogeneous high signal on T2WI, high signal on DWI with low ADC. The postcontrast sequences show a minimal enhancement. 

Small ovarian follicles are noted with minimal effusion in Douglas pouch.

Case Discussion

MRI features are characteristic of diffuse adenomyosis with scar endometriosis.

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Case information

rID: 65863
Published: 27th Jan 2019
Last edited: 28th Jan 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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