The Role of Adenomyosis in the Pathogenesis of Preeclampsia

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dc.contributor.authorHasdemir P.S.
dc.contributor.authorFarasat M.
dc.contributor.authorAydin C.
dc.contributor.authorOzyurt B.C.
dc.contributor.authorGuvenal T.
dc.contributor.authorPekindil G.
dc.date.accessioned2024-07-22T08:11:33Z
dc.date.available2024-07-22T08:11:33Z
dc.date.issued2016
dc.description.abstractIntroduction: Adenomyosis can cause defective deep placentation. Preeclampsia is known to be associated with abnormal placentation. The aim of this study was to compare the presence of adenomyosis on magnetic resonance imaging in patients with and without history of preeclampsia in order to investigate the possible role of adenomyosis in the pathogenesis of preeclampsia. Materials and Methods: This prospective, randomized study consisted of patients with (n = 35) and without (n = 34) history of preeclampsia. Direct (submucosal microcysts, adenomyoma and cystic adenomyoma) and indirect (maximal thickness of junctional zone, ratio of maximal thickness of junctional zone to myometrial thickness, junctional zone differential, focal thickening of junctional zone, globally enlarged uterus and non-uniform junctional zone contours) signs of adenomyosis were assessed by pelvic magnetic resonance imaging. Results: The prevalence of adenomyosis was found to be more common in patients with preeclampsia und fetal growth restriction compared to patients without fetal growth restriction (94.4 vs. 64.7%; p = 0.041), respectively. There was a strong association between maximal thickness of junctional zone (9 vs. 13 mm, p = 0.005), ratio of maximal thickness of junctional zone to myometrial thickness (0.42 vs. 0.66, p = 0.001) and junctional zone differential (3 vs. 5 mm, p = 0.02) and late-onset preeclampsia. Conclusions: Presence of adenomyoma is more common in patients with preeclampsia complicated with fetal growth restriction. Indirect signs of adenomyosis detected on pelvic magnetic resonance imaging might have a role in the pathogenesis of late-onset preeclampsia. © Georg Thieme Verlag KG Stuttgart New York.
dc.identifier.DOI-ID10.1055/s-0042-107080
dc.identifier.issn00165751
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15687
dc.language.isoEnglish
dc.publisherGeorg Thieme Verlag
dc.rightsAll Open Access; Hybrid Gold Open Access
dc.subjectadenomyosis
dc.subjectadult
dc.subjectArticle
dc.subjectclinical article
dc.subjectcomparative study
dc.subjectcontrolled study
dc.subjectendometrial thickness
dc.subjectfemale
dc.subjecthuman
dc.subjectintrauterine growth retardation
dc.subjectmyometrium
dc.subjectnuclear magnetic resonance imaging
dc.subjectnuclear magnetic resonance scanner
dc.subjectpathogenesis
dc.subjectpreeclampsia
dc.subjectprevalence
dc.subjectrandomized controlled trial
dc.subjectuterus
dc.titleThe Role of Adenomyosis in the Pathogenesis of Preeclampsia
dc.typeArticle

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