Abstract
Adenomyosis refers to the occurrence of ectopic endometrial glands and the surrounding stroma within the myometrium. A distinction is made between diffuse and focal forms (rare nodular forms and an adenomyoma). Ectopic pregnancy (EUG) occurs in about 1.5 to 2.0% of pregnancies and can be a life-threatening event. 2% of all EUG are cornual/intramural ectopic pregnancy.
Highlights
Adenomyosis refers to the occurrence of ectopic endometrial glands and the surrounding stroma within the myometrium
A distinction is made between diffuse and focal forms
Ectopic pregnancy (EUG) occurs in about 1.5 to 2.0% of pregnancies and can be a life-threatening event. 2% of all EUG are cornual/intramural ectopic pregnancy
Summary
Adenomyosis refers to the occurrence of the endometrial glands and surrounding stroma within the uterine myometrium. At the time of 7 + 3 gestational weeks the patient presented herself again with the main complaints of contraction-like pain in the lower abdomen, constant pain in the right lower abdomen and persistent vaginal bleeding. An amniotic sac without an embryo and an intracavitary hematoma were found, which gave rise to the suspicion of an abortus incipiens This ultrasound showed a “thickening” in the right uterus horn/angle of fallopian tube. Uterine exudation: An endometriosis with a moderate degree of proliferative activity: Ki 67 of 10% In this case two findings were seen at once: On one hand, there was a pregnancy and subsequent early spontaneous abortion. The patient had a nodular adenomyosis in the right uterine horn, which developed further during pregnancy.
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