Ear sign: A diagnostic sonographic sign for adenomyosis uteri

Background: Adenomyosis uteri is a cause of abnormal uterine bleeding and pelvic pain. Aim of the work: to test the accuracy of ear sonographic sign in adenomyosis uteri diagnosis. Patients and methods: the study included 200 patients suspected to have adenomyosis uteri treated with total abdominal hysterectomy, ultrasound examination performed to all patients searching for ear sign. Correlation between presence of this sign to final histopathological examination after the operation. Results: of 200 patients 187 of them confirmed to have adenomyosis uteri after hysterectomy by histopathological examination. Ear sign was present in 128 case, all of them were with adenomyosis uteri. Conclusions: presence of ear sign is a diagnostic for adenomyosis uteri especially in advanced stages.