[Adenomyosis: analysis of 35 cases].
The authors suggest an analytic study of 35 cases of a adenomyosis discovered on operatory pieces of hysterectomy. The incidence over 28%. The pick of frequency is situated between 40 and 50 years old. The history of voluntary interruption of pregnancy and early abortion are found in 60% of cases. 8 patients have scary uterus post cesarean section or myomectomy. The symptoms and signs are dominated by vaginal bleeding which is found in 71% of cases. Pelvic pain is present in 34% of cases. The adenomyosis is rarely isolated. It is associated to uterine fibroma in 62% of cases. Their symptoms and signs are often the same. Hysterographie can head the diagnosis in 7% of cases. The endovaginal ultrasound and the IRM may help in the diagnosis.
Ben Aissia
N
N
Service de gynecologie-obstetrique, CHU Mongi Slim La Marsa.
Berriri
H
H
Gara
F
F
D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D000367:Age Factors; D000368:Aged; D002585:Cesarean Section; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000453:epidemiology* / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015994:Incidence; D007889:Leiomyoma / Q000150:complications; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011247:Pregnancy; D011379:Prognosis; D012307:Risk Factors; D014463:Ultrasonography; D014621:Vagina / Q000000981:diagnostic imaging
Adenomyose: etude analytique de 35 cas.