Decidualized adenomyosis during pregnancy and post delivery: three cases of magnetic resonance imaging findings
Magnetic resonance imaging showed decidualized adenomyosis during pregnancy with low signal intensity and bright foci, which post-delivery exhibited hemorrhage.
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This case series reported three pregnant patients in whom adenomyosis was suspected based on MRI and then monitored after delivery. During pregnancy, the MRI showed low-signal intensity areas with embedded bright foci expanding to several millimeters on half-Fourier single-shot turbo spin-echo images, which the authors suggested may represent decidual change in the stroma within ectopic endometrium induced by pregnancy. After childbirth, MRI findings in these lesions included hemorrhage, interpreted as resulting from a rapid decrease in blood flow to adenomyosis post-delivery. The main limitation is that conclusions are based on only three cases without a formal comparative or histopathologic confirmation described here. This paper is centrally about endometriosis and adenomyosis — it specifically examines decidualized adenomyosis during pregnancy and its post-delivery MRI changes.
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Cited by (8)
- Pregnancy is associated with reduced progression of symptomatic adenomyosis: a retrospective pilot study 2023
- Adenomyosis in Pregnancy: Diagnostic Pearls and Pitfalls 2021
- Uterine adenomyosis with extensive glandular proliferation: case series of a rare imaging variant 2020
- Diagnostic Imaging for Uterine Fibroids, Adenomyosis, and Uterine Sarcomas 2018
- Symptoms and classification of uterine adenomyosis, including the place of hysteroscopy in diagnosis 2018
- A rapidly growing adenomyosis associated with preterm delivery and postpartum abscess formation 2016
- The Incidence and Clinical Significance of Adenomyosis 2015
- Adenomyosis in pregnancy mimicking morbidly adherent placenta 2014
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