Presentation
Infertility with menorrhagia. Enlarged uterus on ultrasound.
Patient Data
Age: 35 years
Gender: Female
From the case:
Diffuse uterine adenomyosis
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diffuse enlargement of the fundus and body of the uterus with a thickened inner myometrium and multiple T2 hyperintense foci within it
the junctional zone is ill-defined
multiple uterine fibroids
the endometrial cavity is unremarkable.
From the case:
Diffuse uterine adenomyosis
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marked and diffuse uterine enlargement with mild heterogeneous enhancement after contrast injection.
pelvic and subhepatic free fluid
incidental hydatid cyst located in the right lobe of the liver (segment VI)
Case Discussion
Features of an advanced case of diffuse uterine adenomyosis.
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