Presentation
No abdominal complaints.
Patient Data

Retroverted uterus. Thick posterior myometrium with heterogeneous echopattern in the body and fundus region. Normal uterine cervix. No endometrial thickening. Small left ovary. The right ovary could not be localised. No adnexal lesion on either side.
A well-defined hypoechoic lesion in the left lateral vaginal wall measuring 26 x 21 x 18 mm. Mild heterogeneous echopattern without cystic spaces/ calcification. Mild vascularity was present in the lesion (however, images not available).
Case Discussion
The postmenopausal female consulted the gynaecologist for a routine check-up. The ultrasound revealed uterine adenomyosis along the vaginal wall solid lesion. Histopathology revealed uterine adenomyosis and vaginal wall leiomyoma.
The histopathology report is not uploaded as there is no copyright.