Focal adenomyosis

Case contributed by Dr Ammar Haouimi

Presentation

3 years history of cyclic pelvic pain

Patient Data

Age: 20 years
Gender: Female
Ultrasound

Globular enlargement of the uterus with focal thickening of the junctional zone seen as an ill-defined inhomogeneous hypoechoic area of the posterior corporeal region.

 

MRI

The MR sequences show a focal thickening of the junctional zone (endometrium-myometrium) seen as a homogeneous low signal intensity on T2 (24 mm in this case), containing few foci of high signal intensity, compressing the endometrial cavity. Both ovaries appear normal, containing follicles with minimal effusion in the pouch of Douglas.

Case Discussion

MRI is superior to ultrasound in differentiating focal adenomyosis from uterine fibromyoma.

Additional Contributors: Dr R Bouguelaa, Z Boudiaf

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Case information

rID: 59928
Published: 6th May 2018
Last edited: 6th May 2018
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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