Uterine rupture due to adenomyosis in an adolescent: A case report and review of literature

Figure 1 Radiologic findings. A: Chest computed tomography scan revealed two nodules, suggesting metastatic lesions; B-D: Abdominal computed tomography scan demonstrated a huge mass in the uterine corpus, suggesting a uterine malignancy (B: Axial; C: Coronal; D: Sagittal).

Figure 2 Operative findings. Intraoperative findings revealed a huge necrotic mass with multiple uterine perforations.

Figure 3 Microscopic findings. A: Under low-power microscopy, the uterus showed diffuse adenomyosis with extensive hemorrhagic necrosis [Hematoxylin-and-eosin stain (H&E), × 20]; B: At a higher magnification, pathologic evaluation revealed glandular and stromal dissociation with necroinflammatory exudates (H&E, × 100); C: Histology of lung nodules demonstrated Müllerian type epithelium surrounded by endometrial stroma (H&E, × 100); D: Immunohistochemistry revealed positivity for ER in the tumor cells (immunohistochemistry, × 100).