Diffuse uterine adenomyosis with ovarian and subperitoneal endometriosis

Case contributed by Ammar Haouimi
Diagnosis almost certain


Dysmenorrhea and chronic pelvic pain.

Patient Data

Age: 40 years
Gender: Female

The MRI sequences demonstrate:

  • enlarged uterus with diffuse thickening of the junctional zone endometrium-myometrium (16-20 mm) of intermediate signal on T1, and low signal on T2 in keeping with diffuse adenomyosis
  • well-defined right ovarian cystic mass measuring 56 x 50 x 46 mm of high signal on T1, T1 fat sat with T2 shading sign and no enhancement on postcontrast sequences in keeping with ovarian endometrioma
  •  thickening of the uterosacral ligaments mainly on the right as well as the torus uterinus with a small adjacent collection with a blood-fluid level in keeping with subperitoneal endometriosis

Case Discussion

MRI features of diffuse adenomyosis with ovarian endometrioma and subperitoneal involvement

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.