Magnetic resonance imaging of degeneration of uterine adenomyosis during pregnancy and post‐partum period
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 prote...
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| Published in | The journal of obstetrics and gynaecology research Vol. 44; no. 6; pp. 1169 - 1173 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Kyoto, Japan
John Wiley & Sons Australia, Ltd
01.06.2018
Wiley Subscription Services, Inc |
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| Online Access | Get full text |
| ISSN | 1341-8076 1447-0756 1447-0756 |
| DOI | 10.1111/jog.13629 |
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| Abstract | 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. |
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| AbstractList | 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. 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.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. |
| Author | Hirashima, Hiroto Kijima, Shigeyoshi Usui, Rie Matsubara, Shigeki Ohkuchi, Akihide |
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| Keywords | magnetic resonance imaging post-partum period degeneration adenomyosis pregnancy |
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| References_xml | – volume: 28 start-page: 655 year: 2014 end-page: 681 article-title: Imaging for the evaluation of endometriosis and adenomyosis publication-title: Best Pract Res Clin Obstet Gynaecol – volume: 55 start-page: 620 year: 2016 end-page: 622 article-title: A rapidly growing adenomyosis associated with preterm delivery and postpartum abscess formation publication-title: Taiwan J Obstet Gynecol – volume: 24 start-page: 771 year: 2013 end-page: 773 article-title: Acute disseminated intravascular coagulation developed after dilation and curettage in an adenomyosis patient: A case report publication-title: Blood Coagul Fibrinolysis – volume: 42 start-page: 1825 year: 2017 end-page: 1831 article-title: Pathological findings of uterine tumors preoperatively diagnosed as red degeneration of leiomyoma by MRI publication-title: Abdom Radiol (NY) – volume: 19 start-page: 1179 year: 1999 end-page: 1197 article-title: Uterine leiomyomas: Histopathologic features, MR imaging findings, differential diagnosis, and treatment publication-title: Radiographics – volume: 176 start-page: 32 year: 2017 end-page: 39 article-title: Uterine blood flow in sheep and goats during the peri‐parturient period assessed by transrectal Doppler sonography publication-title: Anim Reprod Sci – volume: 29 start-page: 400 year: 2013 end-page: 401 article-title: Microabscess within adenomyosis combined with sepsis publication-title: Kaohsiung J Med Sci – volume: 54 start-page: 215 year: 2013 end-page: 219 article-title: Degeneration of leiomyoma in patients referred for uterine fibroid embolization: Incidence, imaging features and clinical characteristics publication-title: Yonsei Med J – volume: 68 start-page: 359 year: 2016 end-page: 361 article-title: Evaluation of adenomyosis in pregnancy in our hospital. [Touin deno Sikyuusenkinsyou gappei ninshin no kentou] publication-title: Adv Obstet Gynecol [Sanfujinka No Shinpo] – ident: e_1_2_5_7_1 doi: 10.1016/j.anireprosci.2016.11.005 – ident: e_1_2_5_8_1 doi: 10.1148/radiographics.19.5.g99se131179 – ident: e_1_2_5_9_1 doi: 10.1007/s00261-017-1126-3 – ident: e_1_2_5_6_1 doi: 10.1016/j.bpobgyn.2014.04.010 – volume: 68 start-page: 359 year: 2016 ident: e_1_2_5_4_1 article-title: Evaluation of adenomyosis in pregnancy in our hospital. [Touin deno Sikyuusenkinsyou gappei ninshin no kentou] publication-title: Adv Obstet Gynecol [Sanfujinka No Shinpo] – ident: e_1_2_5_5_1 doi: 10.1016/j.kjms.2012.11.009 – ident: e_1_2_5_2_1 doi: 10.1016/j.tjog.2015.02.008 – ident: e_1_2_5_10_1 doi: 10.3349/ymj.2013.54.1.215 – ident: e_1_2_5_3_1 doi: 10.1097/MBC.0b013e3283641917 |
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| Snippet | 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... 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... |
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| SubjectTerms | adenomyosis Cesarean section Degeneration Fever Gestation Health risk assessment Magnetic resonance imaging NMR Nuclear magnetic resonance Pain post‐partum period Pregnancy Uterus |
| Title | Magnetic resonance imaging of degeneration of uterine adenomyosis during pregnancy and post‐partum period |
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