Adenomyosis in the adolescent population: a case report and review of the literature

J Pediatr Adolesc Gynecol. 2009 Oct;22(5):e146-7. doi: 10.1016/j.jpag.2009.01.067. Epub 2009 Jul 8.


Background: This report presents a rare cause of dysmenorrhea in the adolescent female and the usefulness of magnetic resonance imaging (MRI) with T2 weighted sequence in the identification of adenomyosis.

Case: Two adolescents who presented with persistent pelvic pain in the absence of outflow tract obstruction or biopsy confirmed endometriosis had MRI-findings consistent with adenomyosis.

Summary and conclusion: In the adolescent female presenting with persistent dysmenorrhea, a diagnosis of adenomyosis is rare but should remain a possibility as one considers the differential diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Dysmenorrhea / etiology
  • Endometriosis / diagnosis*
  • Endometriosis / drug therapy
  • Endometriosis / pathology
  • Endometrium / pathology
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Pelvic Pain / etiology