J Pérez Buendía,Maria del Pilar Marín Sánchez,A.R. Guijarro Campillo,J.R. Pérez Vidal,I. Ñiguez Sevilla,E. Iborra Lacal,M.C. Carrascosa Romero,A. Nieto Díaz, Intravascular Involvement in Adenomyosis: An Endometriosis Dissemination Pathway? International Journal of Surgical Case Reports 2023 2674-4171 http://dx.doi.org/10.31487/j.IJSCR.2023.01.03 https://www.sciencerepository.org/intravascular-involvement-in_IJSCR-2023-1-103 Abstract: Intravascular adenomyosis is an entity described for years in the literature, but its clinical-pathologic correlation hasn´t been studied in detail. Objective: To study the prevalence of adenomyosis including intravascular involvement, as well as available literature review about this pathology. Material and Methods: A retrospective observational study has been conducted in our hospital analysing hysterectomies specimens from January to December 2020. Results: 447 hysterectomies specimens have been analysed, 68 with adenomyosis and just one with intravascular involvement. Conclusion: Intravascular involvement adenomyosis is a rare entity but with potential etiopathogenic consequence.Keywords: Uterus, adenomyosis, vascular involvement