Deep infiltrating endometriosis with adenomyosis and bilateral endometriomas
Diagnosis almost certain
Presentation
Dysmenorrhea and pelvic pain.
Patient Data
Age: 25 years
Gender: Female
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Anteverted anteflexed uterus with posterior wall adenomyosis, bilateral ovarian and pouch of Douglas T1 hyperintense lesions with layering T2 signal and no fat saturation - in keeping with endometriomas.
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Bilateral ovarian masses with homogeneous internal low level echoes in keeping with endometriomas.
Case Discussion
Constellation of findings is typical for deep infiltrating endometriosis.
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