Microabscess within adenomyosis combined with sepsis

Weng, Shu-Fen; Yang, Sheau-Fang; Wu, Ching-Hu; Chan, Te-Fu

doi:10.1016/j.kjms.2012.11.009

Cited by 12 publications

(10 citation statements)

References 1 publication

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“…The functional changes that occur as a result of adenomyosis during pregnancy and after delivery include decidualization and hemorrhage within the adenomyosis. As adenomyosis is characterized by a chronic inflammatory disease, it could be responsible for severe infection and abscess formation within the adenomyotic foci . The present results show an increase in the incidence of intrauterine infection (7.3%; 19/262) in pregnant women with adenomyosis.…”

Section: Discussionsupporting

confidence: 50%

“…As adenomyosis is characterized by a chronic inflammatory disease, it could be responsible for severe infection and abscess formation within the adenomyotic foci. 25,26 The present results show an increase in the incidence of intrauterine infection [27][28][29][30] In the present study, there were no data to suggest that conservative surgery as a pretreatment for adenomyosis before pregnancy reduced the incidence of pregnancy complications. However, as the surgical techniques differed by facility, it is difficult to analyze the association between the pregnancy outcomes and the individual surgical techniques.…”

Section: Discussionmentioning

confidence: 62%

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Complications and outcomes of pregnant women with adenomyosis in Japan

Tamura

Kishi

Kitade

et al. 2017

Reprod Medicine & Biology

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PurposeTo investigate the impact of adenomyosis on the complications and outcomes of pregnancy in Japan.MethodsWe carried out a multicenter retrospective questionnaire survey. A questionnaire regarding pregnancy complications and the outcomes of pregnancy was sent to 725 facilities.ResultsData were obtained on the cases of 272 pregnant women with adenomyosis from 65 facilities. The complications of pregnancy included miscarriage before 12 weeks of pregnancy (14.8%), miscarriage after 12 weeks of pregnancy (9.9%), preterm delivery (24.4%), fetal growth restriction (11.8%), pregnancy‐induced hypertension (9.9%), intrauterine infection (7.3%), and cervical incompetency (5.3%). The rates of pregnancy complications in the three groups classified according to pretreatment for adenomyosis (no pretreatment, medication, surgery) did not differ to a statistically significant extent. The rates of miscarriage (>12 weeks) and cervical incompetency increased according to the size of the adenomyosis. The rates of pregnancy‐induced hypertension and uterine infection in patients with diffuse‐type adenomyosis were higher than that in patients with focal‐type adenomyosis.ConclusionsOur results show that the increased size and diffuse type of adenomyosis are associated with adverse pregnancy outcome. We should be aware of the higher incidence of pregnancy‐induced hypertension and uterine infection in patients with diffuse‐type adenomyosis.

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 62%

Complications and outcomes of pregnant women with adenomyosis in Japan

Tamura

Kishi

Kitade

et al. 2017

Reprod Medicine & Biology

View full text Add to dashboard Cite

show abstract

“…As adenomyosis is characterized by a chronic inflammatory disease, it could be responsible for severe infection and abscess formation within the adenomyotic foci. 25,26 The present results show an increase in the incidence of intrauterine infection . [27][28][29][30] In the present study, there were no data to suggest that conservative surgery as a pretreatment for adenomyosis before pregnancy reduced the incidence of pregnancy complications.…”

supporting

confidence: 57%

Complications and outcomes of pregnant women with adenomyosis in Japan

Tamura

Maekawa

Sugino

2018

Fertility and Sterility

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Purpose: To investigate the impact of adenomyosis on the complications and outcomes of pregnancy in Japan. Methods:We carried out a multicenter retrospective questionnaire survey. A questionnaire regarding pregnancy complications and the outcomes of pregnancy was sent to 725 facilities.Results: Data were obtained on the cases of 272 pregnant women with adenomyosis from 65 facilities. The complications of pregnancy included miscarriage before 12 weeks of pregnancy (14.8%), miscarriage after 12 weeks of pregnancy (9.9%), preterm delivery (24.4%), fetal growth restriction (11.8%), pregnancy-induced hypertension (9.9%), intrauterine infection (7.3%), and cervical incompetency (5.3%). The rates of pregnancy complications in the three groups classified according to pretreatment for adenomyosis (no pretreatment, medication, surgery) did not differ to a statistically significant extent. The rates of miscarriage (>12 weeks) and cervical incompetency increased according to the size of the adenomyosis. The rates of pregnancy-induced hypertension and uterine infection in patients with diffuse-type adenomyosis were higher than that in patients with focal-type adenomyosis. Conclusions:Our results show that the increased size and diffuse type of adenomyosis are associated with adverse pregnancy outcome. We should be aware of the higher incidence of pregnancy-induced hypertension and uterine infection in patients with diffuse-type adenomyosis. K E Y W O R D Sadenomyosis, complication, miscarriage, pregnancy, preterm delivery

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“…It may be very difficult to distinguish the degeneration of adenomyosis from infection within adenomyosis in pregnant women with adenomyosis presenting with abdominal pain and fever because a woman with a microabscess within adenomyosis also demonstrates abdominal pain and fever . However, it is very important to discriminate these two disorders in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…We also found a suspected case of degeneration of adenomyosis after pregnancy reported in the Japanese language using the Japan Medical Abstracts Society database . As a woman with microabscess within adenomyosis showing abdominal pain and fever has been reported, it may be very difficult to distinguish the degeneration of adenomyosis from infection within adenomyosis in pregnant women with adenomyosis presenting with abdominal pain and fever. Here, we report a woman who demonstrated abdominal pain and fever at 22 weeks of gestation with transient increases of the white blood cell (WBC) count and C‐reactive protein (CRP) and showed sustained inflammation after cesarean section at 29 weeks of gestation.…”

Section: Introductionmentioning

confidence: 99%

Magnetic resonance imaging of degeneration of uterine adenomyosis during pregnancy and post‐partum period

Hirashima

Ohkuchi

Usui

et al. 2018

J of Obstet and Gynaecol

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Degeneration of adenomyosis during pregnancy and the post-partum period is very rare. A 42-year-old Japanese parous woman with four normal-term deliveries, who presented with abdominal pain and fever at 22 weeks of gestation with transient increases of the white blood cell count and C-reactive protein, demonstrated sustained inflammation after cesarean section at 29 weeks of gestation due to the occurrence of gestational hypertension with late deceleration. The noncontrast-enhanced magnetic resonance imaging (MRI) at 22 weeks demonstrated a poorly demarcated hypointense area at the posterior uterine wall on T1- and T2-weighted imaging. The 2nd MRI 2 weeks after the cesarean section showed hypointensity on a T1-weighted image and hyperintensity on a T2-weighted image, allowing confirmation of the diagnosis of degeneration of adenomyosis. Repeated MRIs were clinically useful to diagnose the degeneration of adenomyosis.

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Microabscess within adenomyosis combined with sepsis

Cited by 12 publications

References 1 publication

Complications and outcomes of pregnant women with adenomyosis in Japan

Complications and outcomes of pregnant women with adenomyosis in Japan

Complications and outcomes of pregnant women with adenomyosis in Japan

Magnetic resonance imaging of degeneration of uterine adenomyosis during pregnancy and post‐partum period

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