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Adenomyosis in Pregnancy
Roya Sohaey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Endometriosis interna
              • Uterine cirrhosis
            • Definitions

              • Common benign disorder in which functioning endometrial glands and stroma are present within myometrium
              • Unique pregnancy findings due to ectopic endometrium decidualization + inflammatory response

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      • Reporting Tips

                                        Selected References

                                        1. Jensen KK et al: Adenomyosis in pregnancy: diagnostic pearls and pitfalls. Radiographics. 200120, 2021
                                        2. Chapron C et al: Diagnosing adenomyosis: an integrated clinical and imaging approach. Hum Reprod Update. 26(3):392-411, 2020
                                        3. Razavi M et al: Systematic review and meta-analysis of adverse pregnancy outcomes after uterine adenomyosis. Int J Gynaecol Obstet. 145(2):149-57, 2019
                                        4. Van den Bosch T et al: Sonographic classification and reporting system for diagnosing adenomyosis. Ultrasound Obstet Gynecol. 53(5):576-82, 2019
                                        5. Vannuccini S et al: Recent advances in understanding and managing adenomyosis. F1000Res. 8, 2019
                                        6. Cunningham RK et al: Adenomyosis: a sonographic diagnosis. Radiographics. 38(5):1576-89, 2018
                                        7. Scala C et al: Influence of adenomyosis on pregnancy and perinatal outcomes in women with endometriosis. Ultrasound Obstet Gynecol. 52(5):666-71, 2018
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Endometriosis interna
                                                    • Uterine cirrhosis
                                                  • Definitions

                                                    • Common benign disorder in which functioning endometrial glands and stroma are present within myometrium
                                                    • Unique pregnancy findings due to ectopic endometrium decidualization + inflammatory response

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Staging, Grading, & Classification

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          • Image Interpretation Pearls

                                                                            • Reporting Tips

                                                                              Selected References

                                                                              1. Jensen KK et al: Adenomyosis in pregnancy: diagnostic pearls and pitfalls. Radiographics. 200120, 2021
                                                                              2. Chapron C et al: Diagnosing adenomyosis: an integrated clinical and imaging approach. Hum Reprod Update. 26(3):392-411, 2020
                                                                              3. Razavi M et al: Systematic review and meta-analysis of adverse pregnancy outcomes after uterine adenomyosis. Int J Gynaecol Obstet. 145(2):149-57, 2019
                                                                              4. Van den Bosch T et al: Sonographic classification and reporting system for diagnosing adenomyosis. Ultrasound Obstet Gynecol. 53(5):576-82, 2019
                                                                              5. Vannuccini S et al: Recent advances in understanding and managing adenomyosis. F1000Res. 8, 2019
                                                                              6. Cunningham RK et al: Adenomyosis: a sonographic diagnosis. Radiographics. 38(5):1576-89, 2018
                                                                              7. Scala C et al: Influence of adenomyosis on pregnancy and perinatal outcomes in women with endometriosis. Ultrasound Obstet Gynecol. 52(5):666-71, 2018