Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 9 , ISSUE 2 ( April-June, 2015 ) > List of Articles


Adenomyosis: Pictorial Essay of Two-Dimensional and Three-Dimensional Ultrasonography Findings

Mihaela Grigore

Keywords : Adenomyosis,Endometrial-myometrial junction,Three-dimensional ultrasonography,Two-dimensional ultrasonography

Citation Information : Grigore M. Adenomyosis: Pictorial Essay of Two-Dimensional and Three-Dimensional Ultrasonography Findings. Donald School J Ultrasound Obstet Gynecol 2015; 9 (2):188-192.

DOI: 10.5005/jp-journals-10009-1404

License: CC BY-NC 4.0

Published Online: 01-03-2016

Copyright Statement:  Copyright © 2015; The Author(s).



Adenomyosis is a common gynecological disease that is defined as the presence of nonneoplastic ectopic endometrial glands and stroma in the myometrium. These characteristics are associated with reactive overgrowth of the musculature. The aim of this pictorial essay was to delineate the specific sonographic features of adenomyosis as seen with twodimensional (2D) and three-dimensional (3D) ultrasonography.


Evaluation of the adenomyosis is best achieved in daily practice with transvaginal ultrasonography.


The most important features of adenomyosis are anechoic foci, striation, heterogeneous myometrium, and an asymmetrical uterine wall. All of these features were seen in this study by 2D ultrasonography. Three-dimensional ultrasonography allowed visualization of the thickness and disruption of the endometrial-myometrial junction.


Two-dimensional and 3D ultrasonography are valuable tools for diagnosing adenomyosis even in early stages of the disease because they make it possible to evaluate both the myometrium and the endometrial-myometrial junction. The combined information gained from the 2D and 3D ultrasonography examinations not only allows diagnosis of adenomyosis but also pinpoints the current stage of the disease.

How to cite this article

Grigore M. Adenomyosis: Pictorial Essay of Two-Dimensional and Three-Dimensional Ultrasonography Findings. Donald School J Ultrasound Obstet Gynecol 2015;9(2):188-192.

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