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Magnetic resonance imaging of degeneration of uterine adenomyosis during pregnancy and post‐partum period
Author(s) -
Hirashima Hiroto,
Ohkuchi Akihide,
Usui Rie,
Kijima Shigeyoshi,
Matsubara Shigeki
Publication year - 2018
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13629
Subject(s) - medicine , adenomyosis , magnetic resonance imaging , gestation , postpartum period , hyperintensity , pregnancy , degeneration (medical) , radiology , uterus , obstetrics , pathology , genetics , biology
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.