Adenomyosis with uterine abscess formation treated by adenomyomectomy: A report of two cases

Daiki Hiratsuka; Chihiro Ishizawa; Rei Iida; Yamato Fukui; Mitsunori Matsuo; Masato Nishida; Masako Ikemura; Miyuki Harada; Osamu Wada‐Hiraike; Yutaka Osuga; Yasushi Hirota

doi:10.1111/jog.16185

Adenomyosis with uterine abscess formation treated by adenomyomectomy: A report of two cases

Daiki Hiratsuka, Chihiro Ishizawa, Rei Iida, Yamato Fukui, Mitsunori Matsuo, Masato Nishida, Masako Ikemura, Miyuki Harada, Osamu Wada‐Hiraike, Yutaka Osuga, Yasushi Hirota

Journal of Obstetrics and Gynaecology Research · 2024 · vol. 51(1) , pp. e16185 · doi:10.1111/jog.16185 · PMID:39668455 · PMC11638508 · W4405384102

article OA: gold CC0 ⤵ 1 in-corpus citation

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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study reports two cases of uterine adenomyosis with abscess formation successfully treated by adenomyomectomy, preserving fertility for patients undergoing assisted reproductive procedures.

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Abstract

Uterine adenomyosis is a common disease in women of reproductive age that causes dysmenorrhea, abnormal uterine bleeding, infertility, and obstetric complications. Rarely, adenomyosis can lead to abscess formation, which is refractory to antibiotics and occasionally requires surgical treatment, such as hysterectomy. However, hysterectomy should be avoided in patients who seek to preserve fertility. Herein, for the first time, we report two cases of uterine adenomyosis with abscess formation during assisted reproductive procedures that were successfully treated with adenomyomectomy, thereby preserving fertility. A history of repeated intrauterine procedures and infections was crucial in making an appropriate preoperative diagnosis. Adenomyomectomy can be an effective treatment for adenomyosis associated with abscess in patients who wish to preserve fertility.

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Condition tags

adenomyosisdysmenorrheainfertility

MeSH descriptors

Abscess Abscess Abscess Abscess Abscess Abscess Abscess Abscess Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adenomyosis Humans Humans Humans

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (14)

Abscess in Adenomyosis Mimicking a Malignancy in a54‐Year‐Old Woman via openalex
Adenomyosis and adverse perinatal outcomes: increased risk of second trimester miscarriage, preeclampsia, and placental malposition via openalex
A rapidly growing adenomyosis associated with preterm delivery and postpartum abscess formation via openalex
Conservative surgical management for diffuse uterine adenomyosis via openalex
History of adenomyosis via openalex
Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women via openalex
Microabscess within adenomyosis combined with sepsis via openalex
Pregnancy is associated with reduced progression of symptomatic adenomyosis: a retrospective pilot study via openalex
Rare complication of adenomyosis: acute purulent peritonitis and septicaemia in a young nulligravida via openalex
Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis via openalex
Spectrum of MR features in adenomyosis via openalex
W2008713655 via openalex
W2038124725 via openalex
W3123513008 via openalex

Cited by (1)

Prognostic factors of progesterone resistance in symptomatic adenomyosis: impact of lesion localization on treatment outcome of levonorgestrel intrauterine system 2025

Source provenance

europepmc: last seen: 2026-06-11T06:19:48.454388+00:00
openalex: last seen: 2026-06-10T17:14:06.276822+00:00
pmc: last seen: 2026-05-13T20:22:03.195721+00:00
pubmed: last seen: 2026-05-29T00:31:59.768172+00:00

License: CC0 · commercial use OK

[1] Abscess in Adenomyosis Mimicking a Malignancy in a54‐Year‐Old Woman via openalex

[2] Adenomyosis and adverse perinatal outcomes: increased risk of second trimester miscarriage, preeclampsia, and placental malposition via openalex

[3] A rapidly growing adenomyosis associated with preterm delivery and postpartum abscess formation via openalex

[4] Conservative surgical management for diffuse uterine adenomyosis via openalex

[5] History of adenomyosis via openalex

[6] Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women via openalex

[7] Microabscess within adenomyosis combined with sepsis via openalex

[8] Pregnancy is associated with reduced progression of symptomatic adenomyosis: a retrospective pilot study via openalex

[9] Rare complication of adenomyosis: acute purulent peritonitis and septicaemia in a young nulligravida via openalex

[10] Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis via openalex

[11] Spectrum of MR features in adenomyosis via openalex

[12] W2008713655 via openalex

[13] W2038124725 via openalex

[14] W3123513008 via openalex