Clinical evaluation of SCT in diagnosing uterine adenomyosis

Objective To discuss the clinical value of CT in diagnosing uterine adenomyosis. Methods 32 cases of uterine adenomyosis with CT diagnosis confirmed by surgical and pathological examination were retrospectively analyed. Results All cases of uterine adenomyosis had more or less uterine enlargement including 30/32 cases of uterine volume evident enlargement and 2/32 cases of uterine volume low-grade enlargement. 3/32 cases of disseminated spotty bleeding points on plain CT scan; and 30/32 cases of high density opacification of ectopic endometrium within low density difference uterine wall together with 2/32 cases of scattered high dense endometriotic stippling after enhancement. On addition, 10/32 cases were accompanied by ovarian chocolate-cysts. Conclusion The characteristic CT manifestation of typical uterine adenomyosis is the high dense enhancement of ectopic endometrium within the low density uterine wall .