Magnetic resonance imaging of degeneration of uterine adenomyosis during pregnancy and post-partum period.
Hiroto HirashimaAkihide OhkuchiRie UsuiShigeyoshi KijimaShigeki MatsubaraPublished in: The journal of obstetrics and gynaecology research (2018)
Degeneration of adenomyosis during pregnancy and the post-partum period is very rare. A 42-year-old Japanese parous woman with four normal-term deliveries, who presented with abdominal pain and fever at 22 weeks of gestation with transient increases of the white blood cell count and C-reactive protein, demonstrated sustained inflammation after cesarean section at 29 weeks of gestation due to the occurrence of gestational hypertension with late deceleration. The noncontrast-enhanced magnetic resonance imaging (MRI) at 22 weeks demonstrated a poorly demarcated hypointense area at the posterior uterine wall on T1- and T2-weighted imaging. The 2nd MRI 2 weeks after the cesarean section showed hypointensity on a T1-weighted image and hyperintensity on a T2-weighted image, allowing confirmation of the diagnosis of degeneration of adenomyosis. Repeated MRIs were clinically useful to diagnose the degeneration of adenomyosis.
Keyphrases
- contrast enhanced
- gestational age
- magnetic resonance imaging
- birth weight
- magnetic resonance
- preterm birth
- computed tomography
- diffusion weighted imaging
- preterm infants
- abdominal pain
- deep learning
- single cell
- oxidative stress
- dual energy
- blood pressure
- risk assessment
- pregnant women
- high resolution
- stem cells
- network analysis
- cell therapy
- physical activity
- photodynamic therapy
- case report