Diffuse uterine adenomyosis

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

Heavy and painful periods, passing clots, suspected fibroid

Patient Data

Age: 40 years
Gender: Female
mri

Bulky uterus with diffuse thickening of the junctional zone with diffuse hypointense signals and tiny foci of hyperintensities within. The endometrium appears normal.

Both ovaries and adnexa appear normal.

Case Discussion

Addenomyosis is a condition where there is ectopic presence of endometrial tissue in the uterine myometrium.

The most recognized feature is a thickening of the junctional zone for ≥12 mm with multiple tiny T1 hyperintense foci of hemorrhage.

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