Uterine adenomyosis with incidental pelvic kidney

Case contributed by Dr Amr Farouk

Presentation

Pelvic pain and vaginal spotting

Patient Data

Age: 55 years
Gender: Female

Enlarged uterus showing diffuse thickening of the junctional zone measuring 1.2 cm at maximal thickness with a large myometrial well-defined lobulated mass lesion at the right posterosuperior wall. It appears of intermediate T1 and T2 signal with multiple cystic foci within. This focal myometrial lesion is seen deforming the uterine contour and bulging into the endometrial cavity. Another similar, yet smaller mass is seen at the posterior fundus posterior to the dominant mass causing posterior uterine surface contour bulge.​  The endometrial cavity is distended with intraluminal high fluid signal and intermediate T2 signal core continuing caudally dilating the cervical canal.

Ectopic left pelvic kidney is seen at a left paramedian presacral location showing a few cortical renal cysts. 

Case Discussion

Enlarged uterus with thickened junctional zone with focal myometrial lesions representing adenomyosis with focal adenomyomas.

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Case information

rID: 54843
Case created: 1st Aug 2017
Last edited: 6th Aug 2017
Inclusion in quiz mode: Excluded

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