Pregnancy‐induced hemorrhagic degeneration of adenomyosis
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Abstract
Uterine fibroids are known to degenerate during pregnancy, but it is unknown if similar pathologic condition occurs in adenomyosis. A 38-year-old para 1 woman exhibited uterine tenderness and a markedly elevated inflammatory response at 22 weeks of gestation. Based on magnetic resonance imaging (MRI) findings indicative of hemorrhagic components in an adenomyosis lesion, we judged these features resulted from degeneration of adenomyosis after excluding the possibility of underlying infection by amniocentesis. Although these symptoms improved with conservative management, nonreassuring fetal status prompted an emergency cesarean section at 27 weeks of gestation. MRI performed 4 months postpartum revealed the degeneration had completely disappeared. The present case confirms the presence of a pathologic condition-transient degeneration in adenomyosis-which is triggered by pregnancy.
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References (9)
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Cited by (6)
- Cesarean Section with Adenomyomectomy: Bridging Obstetric Delivery and Reconstructive Uterine Surgery 2025
- A 41-Year-Old Woman with Spontaneous Hemoperitoneum in Pregnancy at 28 Weeks 2023
- Clinical characteristics and outcomes of women with adenomyosis pain during pregnancy: a retrospective study 2023
- Pregnancy is associated with reduced progression of symptomatic adenomyosis: a retrospective pilot study 2023
- Clinical characteristics and outcomes of women with adenomyosis pain during pregnancy: a retrospective study 2023
- Clinical characteristics and outcomes of women with adenomyosis pain during pregnancy: a retrospective cohort study 2022
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:23:57.700195+00:00
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