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AdenomyomaFrom: JOshea1770@aol.comSat May 27 05:14:24 2000
A 38 yo G3 P0 Ab2 female had a 15 week spontaneous loss. She retained the placenta which was removed in the operating room. Three months postoperatively a hysterosalpingogram demonstrated distortion of the endometrial cavity consistent with a leiomyoma or large polyp. Saline infusion sonography was performed. The mass was 4 cm, submucosal not intracavitary. A laparotomy for myomectomy was performed yesterday. The mass was very difficult to dissect. Frozen section diagnosis was adenomyosis. An endometrial cavity was reconstructed as there was essentially no demonstrable endometrium on the anterior endometrial cavity. The uterus was closed in three layer. Any opinions on this patient's future fertility. Anyone have a similar case to share. John O'Shea, MD State College, PA
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