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

Paola Algeri, Maria Donata Spazzini, Nina Pinna, Marta Seca, Tiziana Tomaselli, Riccardo Campanile Garruto, Antonella Villa
In: BOHR International Journal on Gynaecology · 2023 · vol. 1(2) , pp. 35–37 · doi:10.54646/bijg.2023.06 · W4387028558
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This case study presents a 44-year-old patient with a large bilobate anechogenic cyst in the myometrium, initially identified via ultrasound. The diagnostic challenge was resolved by combining contextual hysteroscopy and magnetic resonance imaging to accurately characterize the lesion. This multimodal approach clarified the diagnosis and reduced the risk of complications associated with potential misdiagnosis. This paper is centrally about adenomyosis — specifically a rare case of cystic adenomyosis presenting as a large anechogenic hole in the uterus.

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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 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.
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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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