Diffuse uterine adenomyosis

Case contributed by Dr Ammar Haouimi

Presentation

Perimenopausal metrorrhagia. History of three cesarean sections.

Patient Data

Age: 55 years
Gender: Female
MRI

Enlarged uterus with diffuse thickening of the junctional zone endometrium-myometrium ranging from 25 to 35 mm, displaying an intermediate signal on T1, and low signal on T2 with numerous foci of high signal indicating menstrual hemorrhage into the ectopic endometrial tissues.

Small left ovarian follicles are noted (18/20 mm) with minimal peritoneal effusion.

Case Discussion

The MRI features of diffuse uterine adenomyosis.

Diffuse uterine adenomyosis is considered as the most common of uterine adenomyosis and accounts for ~2/3rd of uterine adenomyosis.

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