Adenomyosis within a septate uterus

Case contributed by Dr Ammar Haouimi

Presentation

Chronic pelvic pain.

Patient Data

Age: 40 years
Gender: Female

The uterus is moderately enlarged with two horns and a common cervix. The inter-cornual angle was at 55° with the flat external contour of the uterine fundus, and the inter-cornual distance was at 30 mm.

Thickening of the junctional zone at the uterine fundus (20 mm) with multiple high T1WI/T2WI foci within.

There are two small intra-mural leiomyomas, fundal (23 mm), and corporeal left posterolateral (20 mm). Numerous small Nabothian cysts are noted within the cervical stroma.

Both ovaries appear normal with numerous follicles

Case Discussion

MRI features are consistent with adenomyosis within a partial septate uterus (class Vb of Mullerian duct anomaly classification).

Additional contributor: A. Ramdani, MD

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Case information

rID: 69963
Published: 28th Jul 2019
Last edited: 14th Aug 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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