An unexpected diagnosis of adenomyosis in the subfertile woman

BMJ Case Reports
Tia Hunjan, Andrew Davidson

Abstract

A 38-year-old nulliparous female presented to an assisted conception clinic with subfertility and a long-standing history of dysmenorrhoea. Transvaginal ultrasound revealed two lesions in the body of the uterus, which were presumed to be fibroids. A decision was made to remove these lesions prior to attempting in vitro fertilisation (IVF). However, on laparotomy, deeply penetrating adenomyosis was discovered, resulting in an unexpected hysterectomy and significant blood loss. Based on our experience, we highlight the importance of suspecting a diagnosis of adenomyosis preoperatively and the methods by which this diagnosis can be made, in order to avoid potential unforeseen outcomes as described in this case. We discuss conservative management options for this condition, particularly in women wishing to preserve fertility.

References

Oct 1, 1984·American Journal of Obstetrics and Gynecology·N C LeeH W Ory
Feb 1, 1995·Clinical Radiology·N M de SouzaR M Winston
Nov 24, 1998·Human Reproduction Update·A Ferenczy
May 20, 2003·Human Reproduction Update·Roland DevliegerDirk Timmerman
Jan 18, 2005·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ken TamaiTakashi Koyama
Mar 11, 2006·Journal of Minimally Invasive Gynecology·Hiroyuki TakeuchiKatsuyuki Kinoshita
Mar 28, 2006·Best Practice & Research. Clinical Obstetrics & Gynaecology·Cynthia Farquhar, Ivo Brosens
Dec 21, 2006·AJR. American Journal of Roentgenology·Man Deuk KimSun Hee Cha
May 15, 2007·Current Opinion in Obstetrics & Gynecology·Erol TavmergenEge Nazan Tavmergen Goker
Nov 17, 2007·Current Opinion in Obstetrics & Gynecology·Margit Dueholm, Erik Lundorf
Feb 19, 2008·European Journal of Radiology·M J Bratby, W J Walker
Mar 29, 2008·Best Practice & Research. Clinical Obstetrics & Gynaecology·Sahana GuptaIsaac Manyonda
Jun 17, 2009·The Journal of Obstetrics and Gynaecology Research·Peng-Hui WangKuan-Chong Chao
Jul 6, 2010·The Journal of Obstetrics and Gynaecology Research·Antoine MaubonPascal Piver
Mar 25, 2011·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C ExacoustosD Arduini
Apr 23, 2011·AJR. American Journal of Roentgenology·Sébastien NovellasPatrick Chevallier
Jun 3, 2011·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Kelton Tremellen, Peter Russell
Mar 24, 2012·Human Reproduction Update·Abha MaheshwariSiladitya Bhattacharya
Dec 19, 2012·Diagnostic and Interventional Imaging·G LevyE Poncelet
Mar 1, 2013·Seminars in Reproductive Medicine·Carla TomassettiThomas D'Hooghe
Sep 7, 2013·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Zhihong NiuYun Feng
Feb 11, 2014·International Journal of Women's Health·Aamir T KhanJanesh K Gupta
Jun 24, 2014·Fertility and Sterility·Yohei KishiFumiaki Taniguchi

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Citations

Feb 13, 2019·Hormone Molecular Biology and Clinical Investigation·Vitaly B TskhayGyulnar T Mikailly

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