Case 43: Adenomyosis with Nabothian Cysts

          

Clinical Features:

A 27 years old female patient came with

- Dysmenorrhoea

- Menorrhagia

Ultrasound Features:

- Bulky uterus.

- Anterior myometrium is thicker than the posterior one.

- Anterior myometrium is inhomogeneous with tiny anechoic cystic spaces at the endo-myo junction.

- Multiple small well-defined round to oval anechoic cystic structures of variable size casting posterior acoustic enhancements are seen within the cervical myometrium.

Remember:

Adenomyosis won’t show pseudocapsule but the fibroid will.

Ultrasound Images:

Fig: Inhomogeneous anterior myometrium with tiny anechoic cystic spaces at the endo-myo junction

Fig: Inhomogeneous anterior myometrium with tiny anechoic cystic spaces at the endo-myo junction

Fig: Inhomogeneous thick anterior myometrium with tiny anechoic cystic spaces at the endo-myo junction

Fig: Multiple well-defined anechoic cervical nabothian cysts with posterior acoustic enhancements

Fig: Multiple well-defined anechoic cervical nabothian cysts with posterior acoustic enhancements

YouTube Video Link:

https://youtu.be/Q4hcC_uEL2M