Karakteristik Pasien Adenomiosis dengan Gambaran Ultrasonografi di Rumah Sakit Dr. Hasan Sadikin Bandung Periode 2015-2016

Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit Dr. Hasan Sadikin Bandung, Meice Fitrina, Hartanto Bayuaji, Tita Husnitawati Madjid, Edwin Armawan
In: Indonesian Journal of Obstetrics & Gynecology Science · 2018 · vol. 1(1) , pp. 35–39 · doi:10.24198/obgynia.v1n1.16 · W2796162623
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This study found that adenomyosis typically affects reproductive-aged women with multiparity, presenting with abdominal masses, and characterized sonographically by heterogeneous myometrium and myometrial cysts.

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The paper conducted a descriptive retrospective analysis of 116 adenomyosis cases from Dr. Hasan Sadikin Bandung Hospital during 2015–2016, using clinical symptom data, transvaginal ultrasonography findings, and available histopathology results to characterize patients by age, parity, and symptoms. The most common patient profile was mean age >35 years (70.7%) with parity 1–4 (51.7%), and secondary infertility was reported in 35.3%; the most frequent clinical symptom was an abdominal mass (45.7%). On ultrasonography, the most common findings were heterogeneous myometrium (63.8%), myometrial cysts (59.5%), and subendometrial linear striae/shadowing (56.5%). The study’s main caveat is that it is retrospective and descriptive, focusing on characterization rather than testing diagnostic accuracy or comparative performance of ultrasound features. This paper is centrally about adenomyosis—characterizing patient demographics, symptoms, and transvaginal ultrasonographic patterns in diagnosed adenomyosis cases.

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Abstract

Abstrak Tujuan : Karakteristik pasien dan hasil pemeriksaan ultrasonografi penting untuk menegakkan diagnosis adenomiosis, dapat diketahui terkait dari usia, gejala dan paritas serta pemeriksaan patologi anatomi. Metode : Deskriptif retrospektif menganalisis gejala klinis dan ultrasonografi adenomiosis. Data demografi (usia dan paritas), gejala klinis, hasil pemeriksaan ultrasonografi, dan hasil pemeriksaan patologi anatomi. Hasil: Dari 116 kasus, rata-rata usia adalah 39 tahun, paritas 1 - 4 (51,7%), infertilitas sekunder (35,3%), dengan gejala klinis yang terbanyak adalah massa pada abdomen (45,7%). Hasil pemeriksaan ultrasonografi yang terutama adalah miometrium heterogen (63,8%), kista miometrium (59,5%), dan subendometrial linear striae (56,0%). Diskusi : Hasil pemeriksaan USG transvaginal yang paling banyak ditemukan gambaran miometrium heterogen (63,8%) dan kista miometrium (59,5%). Kesimpulan: Adenomiosis umum terjadi pada usia reproduktif dan multiparitas dengan gejala utama massa pada abdomen dan hasil ultrasonografi yang terutama ditemukan adalah miometrium heterogen. Characteristics Overview of Adenomyosis Patients with Ultrasonographic at Dr. Hasan Sadikin Bandung General Hospital during 2015–2016 Abstract Objective : Characteristic patient and ultrasonography findings are important to make a diagnosis of adenomyosis. To describe common and uncommon characteristics patients which is include age, symptoms, and parity with ultrasonographic findings and histopatolgic examination of adenomyosis. Method : This study was a descriptive restrospective study in adenomyosis cases. Patients with clinical symptoms and confirmed with ultrasonographic was an adenomyosis were analyzed. Results: Out of 116 cases, mean age was >35 years old (70,7%), parity was 1 - 4 (51,7%), related to secondary infertility (35,3%), with most common symptom is abdominal mass (45,7%). Most common findings of ultrasonographic were heterogenous myometrium (63,8%), myometrium cyst (59,5%), and subendometrial linear striae / shadowing (56,5%). Discussion : Sign transvaginal ultrasound were the heterogeneous myometrium (63.8%) and myometrial cyst (59.5%). Conclusion: Adenomyosis usually happen in reproductive age, multiparity with main symptoms is abdominal mass and the most common sonographic findings is heterogenous myometrium. Key words : adenomyosis, ultrasonographic, transvaginal ultrasonography.
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Abstract

Abstrak Tujuan: Karakteristik pasien dan hasil pemeriksaan ultrasonografi penting untuk menegakkan diagnosis adenomiosis, dapat diketahui terkait dari usia, gejala dan paritas serta pemeriksaan patologi anatomi. Metode: Deskriptif retrospektif menganalisis gejala klinis dan ultrasonografi adenomiosis. Data demografi (usia dan paritas), gejala klinis, hasil pemeriksaan ultrasonografi, dan hasil pemeriksaan patologi anatomi. Hasil: Dari 116 kasus, rata-rata usia adalah 39 tahun, paritas 1 - 4 (51,7%), infertilitas sekunder (35,3%), dengan gejala klinis yang terbanyak adalah massa pada abdomen (45,7%). Hasil pemeriksaan ultrasonografi yang terutama adalah miometrium heterogen (63,8%), kista miometrium (59,5%), dan subendometrial linear striae (56,0%). Diskusi: Hasil pemeriksaan USG transvaginal yang paling banyak ditemukan gambaran miometrium heterogen (63,8%) dan kista miometrium (59,5%). Kesimpulan: Adenomiosis umum terjadi pada usia reproduktif dan multiparitas dengan gejala utama massa pada abdomen dan hasil ultrasonografi yang terutama ditemukan adalah miometrium heterogen. Characteristics Overview of Adenomyosis Patients with Ultrasonographic at Dr. Hasan Sadikin Bandung General Hospital during 2015–2016

Abstract

Objective: Characteristic patient and ultrasonography findings are important to make a diagnosis of adenomyosis. To describe common and uncommon characteristics patients which is include age, symptoms, and parity with ultrasonographic findings and histopatolgic examination of adenomyosis.

Method

This study was a descriptive restrospective study in adenomyosis cases. Patients with clinical symptoms and confirmed with ultrasonographic was an adenomyosis were analyzed.

Results

Out of 116 cases, mean age was >35 years old (70,7%), parity was 1 - 4 (51,7%), related to secondary infertility (35,3%), with most common symptom is abdominal mass (45,7%). Most common findings of ultrasonographic were heterogenous myometrium (63,8%), myometrium cyst (59,5%), and subendometrial linear striae / shadowing (56,5%).

Discussion

Sign transvaginal ultrasound were the heterogeneous myometrium (63.8%) and myometrial cyst (59.5%).

Conclusion

Adenomyosis usually happen in reproductive age, multiparity with main symptoms is abdominal mass and the most common sonographic findings is heterogenous myometrium. Key words: adenomyosis, ultrasonographic, transvaginal ultrasonography.

Keywords

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adenomyosisinfertility

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