Decidualized adenomyosis during pregnancy and post delivery: three cases of magnetic resonance imaging findings

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AI-generated summary by claude@2026-06+body, 2026-06-08

Magnetic resonance imaging showed decidualized adenomyosis during pregnancy with low signal intensity and bright foci, which post-delivery exhibited hemorrhage.

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AI-generated deep summary by claude@2026-06, 2026-06-10

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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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Decidua Magnetic Resonance Imaging Pregnancy Complications Puerperal Disorders Adenomyosis Adult Decidua Female Humans Leiomyoma Leiomyoma Pregnancy Pregnancy Complications Pregnancy Trimester, Third Puerperal Disorders Uterine Neoplasms Uterine Neoplasms

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References (13)

Cited by (8)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:19:12.052662+00:00
License: CC0 · commercial use OK