A Case of Severe Adenomyosis in a Young Adolescent

Ahmed Abdulwahab Abdulkarim

doi:doi:10.11648/j.sjcm.20211004.11

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A Case of Severe Adenomyosis in a Young Adolescent

Ahmed Abdulwahab Abdulkarim

Published in Science Journal of Clinical Medicine (Volume 10, Issue 4)

Received: 16 June 2021 Accepted: 8 July 2021 Published: 30 October 2021

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Abstract

Adenomyosis refers to a disorder in which endometrial glands are present within the uterine muscle which can be either diffuse or localized that may cause heavy menstrual bleeding, dysmenorrhea, and infertility. The disease usually affects multiparous women. Around 70-80% of the cases are reported in women of age between 40 and 50 years. Very few cases of adenomyosis in young adolescent are reported, and the diagnosis in such case becomes notoriously difficult, but still can be highly suspected with the help of ultrasound (USS) and Magnetic Resonance Imaging (MRI). Here, we present a case of 15-year old girl attending the emergency care with acute abdominal pain. The patient underwent diagnostic laparoscopy which revealed bleeding in the peritoneal cavity and a big hypertrophied uterus. Erosion and active bleeding was observed from the surface of the uterus; the case was advanced to laparotomy. The uterus was uniformly enlarged and boggy that was completely eroded and bled actively. Multiple biopsies were taken from different parts of uterine lesion and sent for frozen section histopathology examination. The blood was sucked from the peritoneal cavity, followed by placement of multiple hemostatic stitches. The results revealed severe adenomyosis. Only very few cases of adenomyosis in adolescents are reported to date and since fertility preservation is considered as an important goal, the traditional treatment of endometriosis may not be applicable to treat adenomyosis in case of young adolescent for fear of jeopardizing the reproductive life. Preserving the fertility in the adolescent and young adult patients poses a major challenge keeping in mind the adequate treatment required without affecting the general health of the patient.

Published in	Science Journal of Clinical Medicine (Volume 10, Issue 4)
DOI	10.11648/j.sjcm.20211004.11
Page(s)	85-88
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Adolescent, Adenomyosis, Adenomyoma, Fertility Preservation

References

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[2]	Tsui KH. Lee WL, Chen CY, Sheu BC, Yen MS, et al (2014) Medical treatment for adenomyosi and/or adenomyoma. Taiwan j Obstet Gynecol 53; 459-465.
[3]	Senturk LM, Imamoglu M. Adenomyosis: what is new? Womens Health (Lond). 2015 Aug; 11 (5): 717-24.
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[8]	Koukoura O, Kapsalaki E, Daponte A, Pistofidis G. Laparoscopic treatment of a large uterine cystic adenomyosis in a young patient. BMJ Case Rep. 2015 Oct; 2015. pii: bcr2015210358. doi: 10.1136/bcr-2015-210358. PubMed PMID: 26430229; PubMed Central PMCID: PMC4600803.
[9]	Cucinella G, Billone V, Pitruzzella I, Lo Monte AI, Palumbo VD, Perino A. Adenomyotic cyst in a 25-year-old woman: case report. J Minim Invasive Gynecol. 2013 Nov-Dec; 20 (6): 894-8. doi: 10.1016/j.jmig.2013.04.022. Epub 2013 Jul 10. PubMed PMID: 23849619.
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[12]	Oliveira MAP, Raymundo TS, Soares LC, Pereira TRD, Demôro AVE. How to UseCA-125 More Effectively in the Diagnosis of Deep Endometriosis. Biomed Res Int. 2017; 2017: 9857196. doi: 10.1155/2017/9857196. Epub 2017 Jun 4. PubMed PMID: 28660213; PubMed Central PMCID: PMC5474266.
[13]	Harmsen MJ, Wong CFC, Mijatovic V, Griffioen AW, Groenman F, Hehenkamp WJK, Huirne JAF. Role of angiogenesis in adenomyosis-associated abnormal uterinbleeding and subfertility: a systematic review. Hum Reprod Update. 2019 Sep 11; 25 (5): 647-671. doi: 10.1093/humupd/dmz024. PubMed PMID: 31504506; PubMedCentral PMCID: PMC6737562.
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APA Style

Ahmed Abdulwahab Abdulkarim. (2021). A Case of Severe Adenomyosis in a Young Adolescent. Science Journal of Clinical Medicine, 10(4), 85-88. https://doi.org/10.11648/j.sjcm.20211004.11

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ACS Style

Ahmed Abdulwahab Abdulkarim. A Case of Severe Adenomyosis in a Young Adolescent. Sci. J. Clin. Med. 2021, 10(4), 85-88. doi: 10.11648/j.sjcm.20211004.11

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Ahmed Abdulwahab Abdulkarim. A Case of Severe Adenomyosis in a Young Adolescent. Sci J Clin Med. 2021;10(4):85-88. doi: 10.11648/j.sjcm.20211004.11

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@article{10.11648/j.sjcm.20211004.11,
  author = {Ahmed Abdulwahab Abdulkarim},
  title = {A Case of Severe Adenomyosis in a Young Adolescent},
  journal = {Science Journal of Clinical Medicine},
  volume = {10},
  number = {4},
  pages = {85-88},
  doi = {10.11648/j.sjcm.20211004.11},
  url = {https://doi.org/10.11648/j.sjcm.20211004.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20211004.11},
  abstract = {Adenomyosis refers to a disorder in which endometrial glands are present within the uterine muscle which can be either diffuse or localized that may cause heavy menstrual bleeding, dysmenorrhea, and infertility. The disease usually affects multiparous women. Around 70-80% of the cases are reported in women of age between 40 and 50 years. Very few cases of adenomyosis in young adolescent are reported, and the diagnosis in such case becomes notoriously difficult, but still can be highly suspected with the help of ultrasound (USS) and Magnetic Resonance Imaging (MRI). Here, we present a case of 15-year old girl attending the emergency care with acute abdominal pain. The patient underwent diagnostic laparoscopy which revealed bleeding in the peritoneal cavity and a big hypertrophied uterus. Erosion and active bleeding was observed from the surface of the uterus; the case was advanced to laparotomy. The uterus was uniformly enlarged and boggy that was completely eroded and bled actively. Multiple biopsies were taken from different parts of uterine lesion and sent for frozen section histopathology examination. The blood was sucked from the peritoneal cavity, followed by placement of multiple hemostatic stitches. The results revealed severe adenomyosis. Only very few cases of adenomyosis in adolescents are reported to date and since fertility preservation is considered as an important goal, the traditional treatment of endometriosis may not be applicable to treat adenomyosis in case of young adolescent for fear of jeopardizing the reproductive life. Preserving the fertility in the adolescent and young adult patients poses a major challenge keeping in mind the adequate treatment required without affecting the general health of the patient.},
 year = {2021}
}

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TY - JOUR
T1 - A Case of Severe Adenomyosis in a Young Adolescent
AU - Ahmed Abdulwahab Abdulkarim
Y1 - 2021/10/30
PY - 2021
N1 - https://doi.org/10.11648/j.sjcm.20211004.11
DO - 10.11648/j.sjcm.20211004.11
T2 - Science Journal of Clinical Medicine
JF - Science Journal of Clinical Medicine
JO - Science Journal of Clinical Medicine
SP - 85
EP - 88
PB - Science Publishing Group
SN - 2327-2732
UR - https://doi.org/10.11648/j.sjcm.20211004.11
AB - Adenomyosis refers to a disorder in which endometrial glands are present within the uterine muscle which can be either diffuse or localized that may cause heavy menstrual bleeding, dysmenorrhea, and infertility. The disease usually affects multiparous women. Around 70-80% of the cases are reported in women of age between 40 and 50 years. Very few cases of adenomyosis in young adolescent are reported, and the diagnosis in such case becomes notoriously difficult, but still can be highly suspected with the help of ultrasound (USS) and Magnetic Resonance Imaging (MRI). Here, we present a case of 15-year old girl attending the emergency care with acute abdominal pain. The patient underwent diagnostic laparoscopy which revealed bleeding in the peritoneal cavity and a big hypertrophied uterus. Erosion and active bleeding was observed from the surface of the uterus; the case was advanced to laparotomy. The uterus was uniformly enlarged and boggy that was completely eroded and bled actively. Multiple biopsies were taken from different parts of uterine lesion and sent for frozen section histopathology examination. The blood was sucked from the peritoneal cavity, followed by placement of multiple hemostatic stitches. The results revealed severe adenomyosis. Only very few cases of adenomyosis in adolescents are reported to date and since fertility preservation is considered as an important goal, the traditional treatment of endometriosis may not be applicable to treat adenomyosis in case of young adolescent for fear of jeopardizing the reproductive life. Preserving the fertility in the adolescent and young adult patients poses a major challenge keeping in mind the adequate treatment required without affecting the general health of the patient.
VL - 10
IS - 4
ER -

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Author Information

Ahmed Abdulwahab Abdulkarim

Obstetric and Gynecology Department, King Saud University, King Saud Medical City, Riaydh, KSA

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Plain Text BibTeX RIS

APA Style

Ahmed Abdulwahab Abdulkarim. (2021). A Case of Severe Adenomyosis in a Young Adolescent. Science Journal of Clinical Medicine, 10(4), 85-88. https://doi.org/10.11648/j.sjcm.20211004.11

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ACS Style

Ahmed Abdulwahab Abdulkarim. A Case of Severe Adenomyosis in a Young Adolescent. Sci. J. Clin. Med. 2021, 10(4), 85-88. doi: 10.11648/j.sjcm.20211004.11

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AMA Style

Ahmed Abdulwahab Abdulkarim. A Case of Severe Adenomyosis in a Young Adolescent. Sci J Clin Med. 2021;10(4):85-88. doi: 10.11648/j.sjcm.20211004.11

Copy | Download

@article{10.11648/j.sjcm.20211004.11,
  author = {Ahmed Abdulwahab Abdulkarim},
  title = {A Case of Severe Adenomyosis in a Young Adolescent},
  journal = {Science Journal of Clinical Medicine},
  volume = {10},
  number = {4},
  pages = {85-88},
  doi = {10.11648/j.sjcm.20211004.11},
  url = {https://doi.org/10.11648/j.sjcm.20211004.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20211004.11},
  abstract = {Adenomyosis refers to a disorder in which endometrial glands are present within the uterine muscle which can be either diffuse or localized that may cause heavy menstrual bleeding, dysmenorrhea, and infertility. The disease usually affects multiparous women. Around 70-80% of the cases are reported in women of age between 40 and 50 years. Very few cases of adenomyosis in young adolescent are reported, and the diagnosis in such case becomes notoriously difficult, but still can be highly suspected with the help of ultrasound (USS) and Magnetic Resonance Imaging (MRI). Here, we present a case of 15-year old girl attending the emergency care with acute abdominal pain. The patient underwent diagnostic laparoscopy which revealed bleeding in the peritoneal cavity and a big hypertrophied uterus. Erosion and active bleeding was observed from the surface of the uterus; the case was advanced to laparotomy. The uterus was uniformly enlarged and boggy that was completely eroded and bled actively. Multiple biopsies were taken from different parts of uterine lesion and sent for frozen section histopathology examination. The blood was sucked from the peritoneal cavity, followed by placement of multiple hemostatic stitches. The results revealed severe adenomyosis. Only very few cases of adenomyosis in adolescents are reported to date and since fertility preservation is considered as an important goal, the traditional treatment of endometriosis may not be applicable to treat adenomyosis in case of young adolescent for fear of jeopardizing the reproductive life. Preserving the fertility in the adolescent and young adult patients poses a major challenge keeping in mind the adequate treatment required without affecting the general health of the patient.},
 year = {2021}
}

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