[Problems in the x-ray imaging of adenomyosis (endometriosis interna uteri)]

After a brief review od the nature of disease, its clinical picture, the most frequent roentgenologic images manifested by roentgenologic examination (hysterography), the authors describe their own material. Prospective study was carried out in the course of one year. Twelve women with adenomyosis were discovered and confirmed roentgenologically and histologically (a postoperative preparation). The finding was of accidental character in 9 out of 12 women (75%) and no adenomyosis was taken into consideration. The investigation was performed by conventional method for hysterosalpingography in 10 out of 12 cases. A new technique--subfundic hysterography was used in the remaining two cases, in whom it was contraindicated. The roentgenologic image was characterized by depots located mainly on the fundus, asymmetrically, on the background of deformed uterine cavity (in the region of uterine horns). Two cases, presenting rather typical images, were reported. In the discussion attention was paid to the fact that the main clinical sign in the examined cases was irregular, repeating, long lasting genital bleeding, moderate increase of the uterus and characteristic roentgenologic picture. The histological results from curettages--trial and therapeutic on account of the bleedings, were of undetermined character and was of little help for exact establishment of diagnosis.