Focal adenomyosis

Case contributed by Dr Ammar Haouimi

Presentation

Chronic pelvic pain.

Patient Data

Age: 50 years
Gender: Female
MRI

Pelvis

The MR sequences demonstrate an enlarged uterus with a focal thickening of the endometrium-myometrium junctional zone at posterior fundal/corporeal region (thickness=44 mm), seen as an ill-defined area of intermediate signal on T1WI with foci of high signal (menstrual hemorrhage into the ectopic endometrial tissues), low signal on T2, containing areas of high signal, compressing the endometrial cavity which is displaced anteriorly. 

Case Discussion

MRI of features of focal adenomyosis. The main differential diagnosis is a uterine leiomyoma (peripheral displacement the vessels on color Doppler +/- calcification).

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Case information

rID: 72284
Published: 21st Nov 2019
Last edited: 21st Nov 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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