[Adenomyosis: analysis of 35 cases].

La Tunisie medicale · 2002 · vol. 79(8-9) , pp. 447–51 · PMID:11774787 · W2416753597
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AI-generated summary by claude@2026-06, 2026-06-12

This analytic study reviewed 35 hysterectomy cases of adenomyosis, finding a 28% incidence, a peak age of 40-50, and frequent associations with prior pregnancy interventions and uterine fibromas, with bleeding being the most common symptom.

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Abstract

The authors suggest an analytic study of 35 cases of a adenomyosis discovered on operatory pieces of hysterectomy. The incidence over 28%. The pick of frequency is situated between 40 and 50 years old. The history of voluntary interruption of pregnancy and early abortion are found in 60% of cases. 8 patients have scary uterus post cesarean section or myomectomy. The symptoms and signs are dominated by vaginal bleeding which is found in 71% of cases. Pelvic pain is present in 34% of cases. The adenomyosis is rarely isolated. It is associated to uterine fibroma in 62% of cases. Their symptoms and signs are often the same. Hysterographie can head the diagnosis in 7% of cases. The endovaginal ultrasound and the IRM may help in the diagnosis.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Abortion, Induced Endometriosis Abortion, Induced Adult Aged Age Factors Cesarean Section Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Hysterectomy Incidence Leiomyoma Leiomyoma Magnetic Resonance Imaging Middle Aged Pregnancy

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