Adenomioza: un diagnostic diferenţial rar în postmenopauză – prezentare de caz

Adenomyosis is a benign gynecological pathology, com­mon­ly found in women aged 40-50 years old. The non­spe­cific clinical presentation and the lack of stan­dar­dized diag­nos­tic criteria make this pathology a challenge for cli­ni­cians. We present a rare case of adenomyoma in a 73-year-old woman with obesity, cardiovascular path­ology and oncological history of nasal squamous cell carcinoma, who presented to our department for post­me­no­pau­sal bleeding. In this case report, we aim to high­light the diag­­nos­­tic and therapeutic management for per­sis­tent ute­­rine bleeding at an advanced age, discussing the pa­ra­cli­­ni­­cal evidence guiding the diagnosis. Definitive surgical treat­­ment by total hysterectomy with bilateral salpingo-oopho­rec­­tomy contributed fundamentally to the diagnosis of adenomyoma. The therapeutic option took into account the persistence of the patient’s symptoms and related comorbidities.