Presentation
Dysmenorrhea.
Patient Data
Age: 20 years
Gender: Female
From the case:
Cystic adenomyosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/107672/annotated_viewer_json?lang=us"}
There is a well-circumscribed lobulated intramural uterine cystic lesion of posterior corporeal location measuring 30 x 26 x 22 mm. It shows a high signal on T1 and T2 (hemorrhagic content) with no enhancement following IV contrast.
Both ovaries are normal in size with a small right hemorrhagic follicular cyst.
Minimal fluid in Douglas pouch.
Case Discussion
The MRI features are suggestive of cystic adenomyosis.
Cystic adenomyosis is a rare variant of adenomyosis and is believed to be the result of repeated focal hemorrhages resulting in cystic spaces filled with altered blood products.
Unable to process the form. Check for errors and try again.