Large anechogenic “Holes” in the uterus: The utilityof contextual combination of ultrasound and hysteroscopy

Paola Algeri, Maria Donata Spazzini, Nina Pinna, Marta Seca, Tiziana Tomaselli, Riccardo Campanile Garruto, Antonella Villa
In: BOHR Journal of Obstetrics and Gynaecology · 2024 · vol. 1(2) , pp. 35–37 · doi:10.54646/bjog.2024.06 · W4391962545
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details how combining ultrasound, hysteroscopy, and MRI clarified a rare instance of cystic adenomyosis in a young patient, reducing diagnostic ambiguity.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a challenging case of cystic adenomyosis in a 44-year-old African patient, where ultrasound showed large bilobate anechogenic cysts in the myometrium. The authors used a contextual combination of ultrasound findings with hysteroscopy, followed by magnetic resonance imaging, to clarify the diagnosis and reduce the risk of complications that could arise from misdiagnosis. The main limitation is that the study is a single case report and describes findings in one patient rather than a generalizable cohort. This paper is centrally about adenomyosis — specifically cystic adenomyosis diagnosed through combined ultrasound, hysteroscopy, and MRI to address potential misdiagnosis.

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Abstract

Cystic adenomyosis is a rare occurrence, especially in young patients. We report a challenging case of a 44-year-old African patient, in which the ultrasound described a large bilobate an echogenic cyst in the myometrium. The combination of ultrasound, contextual hysteroscopy, and subsequent magnetic resonance imaging helped to clarify the case, reducing the risk of complications for the patient, potentially due to misdiagnosis.
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Large anechogenic “Holes” in the uterus: The utility of contextual combination of ultrasound and hysteroscopy Main Article Content Abstract Cystic adenomyosis is a rare occurrence, especially in young patients. We report a challenging case of a 44- year-old African patient, in which the ultrasound described a large bilobate anechogenic cyst in the myometrium. The combination of ultrasound, contextual hysteroscopy, and subsequent magnetic resonance imaging helped to clarify the case, reducing the risk of complications for the patient, potentially due to misdiagnosis. Usage Statistics Downloads Download data is not yet available. Article Details Section Case study

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adenomyosis

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