Case 119: Adenomyosis | Uterus || Ultrasound

                  

Clinical Features:

A 35-year-old female patient came with

- Dysmenorrhoea

- Menorrhagia

Ultrasound Features:

- Uterus is enlarged & globular with asymmetric myometrial thickening.

- Myometrium is inhomogeneous with irregular junctional zone, subendometrial tiny cystic spaces along with echogenic lines & islands & fan-shaped shadowing without any translesional abnormal vascularity.

Remember:

Check two journals for studying adenomyosis:

1.Van den Bosch, T., Dueholm, M., Leone, F.P.G., Valentin, L., Rasmussen, C.K., Votino, A., Van Schoubroeck, D., Landolfo, C., Installé, A.J.F., Guerriero, S. and Exacoustos, C., 2015. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound in Obstetrics & Gynecology, 46(3), pp.284-298.

2. Van den Bosch, T., De Bruijn, A.M., De Leeuw, R.A., Dueholm, M., Exacoustos, C., Valentin, L., Bourne, T., Timmerman, D. and Huirne, J.A.F., 2019. Sonographic classification and reporting system for diagnosing adenomyosis. Ultrasound in obstetrics & gynecology: the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 53(5), pp.576-582.

Ultrasound Diagnosis:

Uterine Adenomyosis

Ultrasound Images:

Enlarged & globular uterus with inhomogeneous asymmetric myometrium showing irregular junctional zone, subendometrial tiny cystic spaces along with echogenic lines & islands & fan-shaped shadowing without any translesional abnormal vascularity. 

A small nabothian cyst is also seen.

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