Deep infiltrating endometriosis with adenomyosis and bilateral endometriomas

Case contributed by Hani Makky Al Salam
Diagnosis almost certain


Dysmenorrhea and pelvic pain.

Patient Data

Age: 25 years
Gender: Female

Anteverted anteflexed uterus with posterior wall adenomyosis, bilateral ovarian and pouch of Douglas T1 hyperintense lesions with layering T2 signal and no fat saturation - in keeping with endometriomas.

Bilateral ovarian masses with homogeneous internal low level echoes in keeping with endometriomas.

Case Discussion

Constellation of findings is typical for deep infiltrating endometriosis.

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