DailyDx: Polymenorrhea with Dysmenorrhoea

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This is a 30 year old female with polymenorrhea with dysmenorrhoea. What do the ultrasound images show?

History: This is a 30 year old female with polymenorrhea and dysmenorrhoea. 

These images show some typical features.

 

 

What is your diagnosis?  Post it below and check your answer.

 

The diagnosis of our 30 year old female with polymenorrhea and dysmenorrhoea is adenomyosis.

These images show  typical features of this condition.  You will note:

Globular uterus with inhomogeneity of the myometrium

Increased vascularity in posterior wall of the body and fundus of uterus.

We challenge you to stump your colleagues!  Send us your most unusual case's.

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