Spontaneous pregnancy, macrosomia and cephalopelvic disproportion in diffuse adenomyosis: a case report

Abstract

Introduction. Adenomyosis increases obstetrical and perinatal complications. Case presentation. We present a rare case of spontaneous pregnancy, large fetus, and cephalopelvic disproportion in a woman with diffuse adenomyosis. No biophysical or biochemical markers of failed placentation were detected during pregnancy. However, delivery was complicated by cephalopelvic disproportion. A male baby of 4350 g in weight, 59 cm in length, with a head circumference of 38 cm and Apgar score of 8 to 9 was delivered via Caesarean. The spontaneous conception and the absence of chronic placental insufficiency were unusual presentations in this case. Conclusions. The fact of complete cervical dilation and cephalopelvic disproportion in diffuse adenomyosis is of great interest. The presented clinical case is a ground for the continuation of the studies in the field of fetal outcome and uterine contractile activity in adenomyosis.