Gordon C*, Hartenstine J and Tatsis V
Department of Obstetrics & Gynecology, University of California, USAFulltext PDF
Background: Adenomyosis occurs when endometrial tissue is found within the myometrium. The risks of adenomyosis in pregnancy are well described and include preterm delivery and preterm premature rupture of membranes, however only a few case reports describe the risks of delivery in the setting of extensive adenomyosis. Case
Presentation: We report the case of a 36-year-old G2P0010 at 38 week and 4 days gestation who presented in labor. The fetus was in the breech presentation so she underwent a primary Cesarean section. At the time of surgery, extensive transmural adenomyosis with decidualization was noted, ultimately requiring a Cesarean hysterectomy due to intra-operative hemorrhage.
Conclusion: This case emphasizes the importance of early clinical suspicion of adenomyosis in pregnancy to mitigate potentially life-threatening hemorrhage.
Transmural adenomyosis; Cesarean hysterectomy; Obstetrical emergency
Gordon C, Hartenstine J, Tatsis V. A Case of Adenomyosis during Pregnancy Requiring Cesarean Hysterectomy. J Clin Obstet Gynecol Infertil. 2018; 2(1): 1031.