15. Clinical and paraclinical characteristics of patients with adenomyosis undergoing hysterectomy at the National Hospital of obstetrics and gynecology
Main Article Content
Abstract
This study aimed to describe the clinical and paraclinical characteristics of patients with adenomyosis who underwent hysterectomy at the National Hospital of Obstetrics and Gynecology between January 2022 and December 2023. This retrospective study was based on the medical records of 296 patients whose diagnosis of adenomyosis was confirmed by histopathological examination after hysterectomy. The mean age was 46.6 ± 4.7 years old; the majority (88.1%) had at least two prior deliveries and a history of uterine interventions such as dilation and curettage, cesarean section, or gynecologic surgery. The most common clinical symptoms were pelvic pain (93.6%), particularly dysmenorrhea (64.5%), and abnormal uterine bleeding (79.4%). Anemia was reported in 66.5% of patients, mostly mild to moderate in severity. 87.5% of adenomyosis lesions were detected by transvaginal ultrasound, predominantly diffuselesion and primarily located in the posterior uterine wall and fundus. Histopathological results showed that more than one-third of allcases had coexisting uterine fibroids.
Article Details
Keywords
Adenomyosis, dysmenorrhea, abnormal uterine bleeding, uterine fibroids, hysterectomy
References
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