Wednesday, May 12, 2010

Adenomyosis in a patient with dysmenorrhea




This is an image of a uterus in longitudinal view. Some of the most common features in adenomyosis are thickening of the posterior myometrium with ill-defined border (yellow arrows), endometrium displacement (pink arrow), small myometrial cysts (blue arrows).

1 comment:

Dr Martin Quinn said...

Quite correct.

Adenomyosis is much under-diagnosed. Injuries to nerves at the endometrial-myometrial interface may precede vascular changes in this evolving condition.

Focal hyperechoic changes in the myometrium are one spectrum of the condition.