Adenomyosis uterus with hematometra

Case contributed by Chris O'Donnell , 7 Jun 2016
Diagnosis certain
Changed by Joshua Yap, 22 Sep 2022
Disclosures - updated 15 Jul 2022: Nothing to disclose

Updates to Case Attributes

Body was changed:

Adenomyosis of the uterus is less well-defined on MRI and US than fibroids and has a signature pattern of "venetian blind" alternating echogenity on ultrasound.  On On MRI it is characterizedcharacterised by a poorly defined thickening of the uterine wall with small cystic spaces.

  • -<p>Adenomyosis of the uterus is less well-defined on MRI and US than fibroids and has a signature pattern of "venetian blind" alternating echogenity on ultrasound.  On MRI it is characterized by a poorly defined thickening of the uterine wall with small cystic spaces.</p>
  • +<p>Adenomyosis of the uterus is less well-defined on MRI and US than fibroids and has a signature pattern of "venetian blind" alternating echogenity on ultrasound. On MRI it is characterised by a poorly defined thickening of the uterine wall with small cystic spaces.</p>
Presentation was changed:
No periods for months.Infertility.

Updates to Study Attributes

Findings was changed:

Expanded endometrium containing a fluid/fluid level on the longitudonallongitudinal image and no blood flow on colour Doppler.  Note Note thickening of the posterior uterine wall with the typical "venetian blind" echo pattern of adenomyosis (best seen on the transverse image).

Images Changes:

Image Ultrasound (Transverse) ( update )

Perspective was set to Transverse.

Updates to Study Attributes

Findings was changed:

Poorly defined mass in the posterior uterine body causing obstruction to the endometrial cavity and resultant haematometra.  There There is a generalized increase in vascularity to the uterus (arrows).Note. Note the 3 layers in the blood ie dependent: dependent red cells (containing metHb as low T2 signal), serum as supernatant (high T2 signal), and an intervening thin grey layer (ie(i.e. the buffy coat of platelets).

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