Zeiter Mohammad, Kao Chuan-Chi, Huang Kuan-Gen, Lee Chyi-Long, Atileh Luay Abu
Department of Obstetrics and Gynecology, Arab Medical Center, Amman, Jordan.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung, Taiwan.
Gynecol Minim Invasive Ther. 2025 Apr 25;14(2):178-181. doi: 10.4103/gmit.gmit_56_24. eCollection 2025 Apr-Jun.
Endometriosis, adenomyosis, and uterine adenomyomas prevail most frequently in reproductive-age women. However, about 2%-4% of postmenopausal women may suffer from endometriosis symptoms, while adenomyosis does not occur frequently after menopause in the absence of exogenous hormones. While cystic adenomyosis is an uncommon variant of adenomyosis, it is even rarer to be pedunculated. Usually, degeneration is a feature of uterine leiomyoma, 4% of which might be cystic, while ruptured adenomyoma with cystic degeneration is only reported few times in the literature. We present a case of a 50-year-old menopausal woman, with a ruptured pedunculated adenomyoma with endometriotic cystic degeneration, with a literature review.
子宫内膜异位症、子宫腺肌病和子宫腺肌瘤在育龄期女性中最为常见。然而，约2%-4%的绝经后女性可能会出现子宫内膜异位症症状，而在没有外源性激素的情况下，子宫腺肌病在绝经后并不常见。虽然囊性子宫腺肌病是子宫腺肌病的一种罕见变体，但带蒂的情况更为罕见。通常，变性是子宫平滑肌瘤的一个特征，其中4%可能是囊性的，而文献中仅报道过几次伴有囊性变性的破裂子宫腺肌瘤。我们报告一例50岁绝经后女性，患有带蒂的破裂子宫腺肌瘤伴子宫内膜异位性囊性变性，并进行文献复习。
