Uterine adenomyosis

Case contributed by Dr Domenico Nicoletti

Presentation

Pain for ten years associated with intermenstrual bleeding.

Patient Data

Age: 40
Gender: Female
MRI

Globular uterus with diffuse thickening of the junctional epithelium. Presence of large nodule of approximately 4 cm at the bottom right, without capsule.

Case Discussion

From the Radiopaedia.org reference article on uterine adenomyosis:

Adenomyosis is the pathological presence of endometrial glandular tissue in the context of the myometrium. Adenomyosis may be widespread (most common) or Cullen’s adenomyoma, large nodule fibro glandular with center blood, without capsule.

Adenomyosis, in addition to being responsible for menstrual disorders such as pain and uterine bleeding atypical, can lead to deformation and anomalous uterine growth, resulting in problems of fertility and pregnancy. Processes adenomiotici focal (localized adenomyosis) are individually identified with the term "adenomyoma".

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Case information

rID: 36709
Published: 5th May 2015
Last edited: 14th Aug 2019
System: Gynaecology
Inclusion in quiz mode: Included

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