Adenomyosis in the adolescent population: a case report and review of the literature.
BACKGROUND
This report presents a rare cause of dysmenorrhea in the adolescent female and the usefulness of magnetic resonance imaging (MRI) with T2 weighted sequence in the identification of adenomyosis.


METHODS
Two adolescents who presented with persistent pelvic pain in the absence of outflow tract obstruction or biopsy confirmed endometriosis had MRI-findings consistent with adenomyosis.


CONCLUSIONS
In the adolescent female presenting with persistent dysmenorrhea, a diagnosis of adenomyosis is rare but should remain a possibility as one considers the differential diagnosis.
Itam
S Paul
SP
Department of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, Baylor College of Medicine, Houston, Texas 77030, USA.
Ayensu-Coker
Leslie
L
Sanchez
Judith
J
Zurawin
Robert K
RK
Dietrich
Jennifer E
JE
D000293:Adolescent; D004412:Dysmenorrhea / Q000209:etiology; D004715:Endometriosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D004717:Endometrium / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D017699:Pelvic Pain / Q000209:etiology