Effects of localization of uterine adenomyosis on clinical features and pregnancy outcome
Open accessAbstract
The purpose of this study was to implore the association among clinical features, long-term fertility outcomes and the anatomical location of adenomyosis identified by ultrasound. We collected data of non-pregnant patients between 20 and 40 years old who had undergone surgical exploration for benign gynecological conditions at our institution between January 2010 and December 2017. A total of 158 women met the inclusion criteria and were allocated into three groups according to the ultrasound-determined adenomyosis anatomical location: anterior (Group A), posterior (Group B), both posterior and anterior (Group C). 44.3% (70/158) adenomyosis was located at the posterior side. History of miscarriage and parity were significantly higher in Group C (p = 0.036 and 0.001 respectively). Group C also had a higher concurrence rate of ovarian endometrioma (OEM) (80.4%, p = 0.002), pelvic adhesion (80.4%, P = 0.003) and the revised American Fertility Society (rAFS) Score (median64, range2-100, P < 0.001), while a significantly lower rate of concurrent peritoneal endometriosis (P = 0.01). Group B showed a relative higher rate of coexistent heavy menstrual bleeding (28.6%, p = 0.04) and oviduct obstruction (24.3%, P = 0.038). Group A had a higher proportion of coexistent leiomyoma (53.1%, P = 0.002). There were no significant differences between group A, B, and C in terms of pain symptoms, endometrial polyps, operation time, and endometriosis fertility index score and other basic characters (p > 0.05). During the follow-up, 59.2% (61/103) patients had clinical pregnancies, and 26.2% (16/61) of them experienced pregnancy loss. Total in vitro fertilization and embryo transfer pregnancy rate was 64.6% (42/65) and spontaneous pregnancy rate was 50.0% (19/38). The Kaplan-Meier curves demonstrated significant lower cumulative pregnancy rate in Group C than Group A and Group B (p = 0.01). Severe obstetric complications such as placenta previa, placenta accreta, preeclampsia, and preterm birth were only found in women with adenomyosis located in the posterior side. In conclusion, types of adenomyosis based on sonographic location had different clinical features and pregnancy outcome. Patients with adenomyosis lesion in both anterior and posterior sides had higher combination of OEM, pelvic adhesion and rAFS score.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
An association between AM of the posterior uterine wall and placenta praevia has been demonstrated.
“An association between AM of the posterior uterine wall and placenta praevia has been demonstrated and posterior adhesions may be a risk factor for bleeding complications [33].”
From Women with Endometriosis—Who Is at Risk for Complications Associated with Pregnancy and Childbirth? A Retrospective Case–Control Study (2024) · cites this paper as [33]
Women with placenta praevia and DIE in the posterior compartment with known adhesions are at risk of bleeding complications.
“Women with placenta praevia and DIE in the posterior compartment with known adhesions are at risk of bleeding complications.”
From Women with Endometriosis—Who Is at Risk for Complications Associated with Pregnancy and Childbirth? A Retrospective Case–Control Study (2024) · cites this paper as [33]
Posterior adhesions may be a risk factor for bleeding complications.
“An association between AM of the posterior uterine wall and placenta praevia has been demonstrated and posterior adhesions may be a risk factor for bleeding complications [33].”
From Women with Endometriosis—Who Is at Risk for Complications Associated with Pregnancy and Childbirth? A Retrospective Case–Control Study (2024) · cites this paper as [33]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
den Bosch, T. V., Dueholm, M., Leone, F. P., Valentin, L., Rasmussen, C. K., Votino, A., Schoubroeck, D. V., Landolfo, C., Installé, A., Guerriero, S., et al. (2015) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.14806 · Cited by 776 · see citing works
Endometriosis fertility index: the new, validated endometriosis staging system
Adamson, G. D., & Pasta, D. J. (2010) · Fertility and Sterility · doi:10.1016/j.fertnstert.2009.09.035 · Cited by 483 · see citing works
Uterine adenomyosis and in vitro fertilization outcome: a systematic review and meta-analysis
Vercellini, P., Consonni, D., Dridi, D., Bracco, B., Frattaruolo, M. P., & Somigliana, E. (2014) · Human Reproduction · doi:10.1093/humrep/deu041 · Cited by 411 · see citing works
Kunz, G., Beil, D., Huppert, P., Noe, M., Kissler, S., & Leyendecker, G. (2005) · Human Reproduction · doi:10.1093/humrep/dei021 · Cited by 377 · see citing works
Naftalin, J., Hoo, W., Pateman, K., Mavrelos, D., Holland, T., & Jurkovic, D. (2012) · Human Reproduction · doi:10.1093/humrep/des332 · Cited by 337 · see citing works
Four subtypes of adenomyosis assessed by magnetic resonance imaging and their specification
Kishi, Y., Suginami, H., 蔵盛, 理., Yabuta, M., Suginami, R., & Taniguchi, F. (2012) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2012.06.027 · Cited by 301 · see citing works
Recent advances in understanding and managing adenomyosis
Vannuccini, S., & Petraglia, F. (2019) · F1000Research · doi:10.12688/f1000research.17242.1 · Cited by 298 · see citing works
Chapron, C., Tosti, C., Marcellin, L., Bourdon, M., Lafay-Pillet, M.-C., Millischer, A.-E., Streuli, I., Borghese, B., Petraglia, F., & Santulli, P. (2017) · Human Reproduction · doi:10.1093/humrep/dex088 · Cited by 294 · see citing works
Sonographic classification and reporting system for diagnosing adenomyosis
den Bosch, T. V., de Bruijn, A. M., de Leeuw, R. A., Dueholm, M., Exacoustós, C., Valentin, L., Bourne, T., Timmerman, D., & Huirne, J. A. F. (2018) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.19096 · Cited by 293 · see citing works
Bazot, M., Fiori, O., & Daraï, É. (2006) · Human Reproduction · doi:10.1093/humrep/dei448 · Cited by 282 · see citing works
Leyendecker, G., Bilgicyildirim, A., Inacker, M., Stalf, T., Huppert, P., Mall, G., Böttcher, B., & Wildt, L. (2015) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-014-3437-8 · Cited by 261 · see citing works
Adenomyosis and Abnormal Uterine Bleeding (AUB-A)—Pathogenesis, diagnosis, and management
Abbott, J. A. (2016) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2016.09.006 · Cited by 209 · see citing works
Pinzauti, S., Lazzeri, L., Tosti, C., Centini, G., Orlandini, C., Luisi, S. V., Zupi, E., Exacoustós, C., & Petraglia, F. (2015) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.14834 · Cited by 208 · see citing works
The rASRM score and the Enzian classification for endometriosis: their strengths and weaknesses
HAAS, D., SHEBL, O., SHAMIYEH, A., & OPPELT, P. (2013) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.12026 · Cited by 204 · see citing works
Prevalence of adenomyosis in women undergoing surgery for endometriosis
Donato, N. D., Montanari, G., Benfenati, A., Leonardi, D., Bertoldo, V., Monti, G., Raimondo, D., & Seracchioli, R. (2014) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2014.08.016 · Cited by 157 · see citing works
Adenomyosis and endometriosis in the California Teachers Study
Templeman, C. E., Marshall, S. F., Ursin, G., Horn‐Ross, P. L., Clarke, C. A., Allen, M. S., Deapen, D., Ziogas, A., Reynolds, P., Cress, R. D., et al. (2007) · Fertility and Sterility · doi:10.1016/j.fertnstert.2007.06.027 · Cited by 140 · see citing works
Exacoustós, C., Morosetti, G., Conway, F., Camilli, S., Martire, F. G., Lazzeri, L., Piccione, E., & Zupi, E. (2019) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2019.09.788 · Cited by 135 · see citing works
Endometrial-Myometrial Interface: Relationship to Adenomyosis and Changes in Pregnancy
Uduwela, A. S., Perera, M. A. K., Li, A., & Fraser, I. S. (2000) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-200006000-00025 · Cited by 126 · see citing works
Characteristics indicating adenomyosis coexisting with leiomyomas: a case-control study
Taran, F., Weaver, A. L., Coddington, C. C., & Stewart, E. A. (2010) · Human Reproduction · doi:10.1093/humrep/deq034 · Cited by 115 · see citing works
Adenomyosis of the inner and outer myometrium are associated with different clinical profiles
Bourdon, M., de Oliveira, J. G. A., Marcellin, L., Santulli, P., Bordonné, C., Maitrot‐Mantelet, L., Millischer, A., Plu‐Bureau, G., & Chapron, C. (2020) · Human Reproduction · doi:10.1093/humrep/deaa307 · Cited by 113 · see citing works
Bruner‐Tran, K. L., Gnecco, J. S., Ding, T., Glore, D. R., Pensabene, V., & Osteen, K. G. (2016) · Reproductive Toxicology · doi:10.1016/j.reprotox.2016.07.007 · Cited by 105 · see citing works
Diagnosis, Evaluation, and Treatment of Adenomyosis
Kho, K. A., Chen, J., & Halvorson, L. M. (2021) · JAMA · doi:10.1001/jama.2020.26436 · Cited by 99 · see citing works
Correlations between Extent and Spread of Adenomyosis and Clinical Symptoms
Sammour, A., Pirwany, I. R., Usubutün, A., Arseneau, J., & Tulandi, T. (2002) · Gynecologic and Obstetric Investigation · doi:10.1159/000068385 · Cited by 84 · see citing works
Focal adenomyosis is associated with primary infertility
Bourdon, M., Santulli, P., Oliveira, J., Marcellin, L., Maignien, C., Melka, L., Bordonné, C., Millisher, A. E., Plu‐Bureau, G., Cormier, J., et al. (2020) · Fertility and Sterility · doi:10.1016/j.fertnstert.2020.06.018 · Cited by 84 · see citing works
Khan, K. N., Fujishita, A., Koshiba, A., Kuroboshi, H., Mori, T., Ogi, H., Itoh, K., Nakashima, M., & Kitawaki, J. (2019) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2019.03.210 · Cited by 71 · see citing works
Ultrasound Findings of Adenomyosis in Adolescents: Type and Grade of the Disease
Exacoustós, C., Lazzeri, L., Martire, F. G., Russo, C., Martone, S., Centini, G., Piccione, E., & Zupi, E. (2021) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2021.08.023 · Cited by 65 · see citing works
Difference between Primary and Secondary Infertility in Morocco: Frequencies and Associated Factors.
Benksim, A., Elkhoudri, N., Addi, R. A., Baali, A., & Cherkaoui, M. (2018) · Europe PMC (PubMed Central) · doi:10.22074/ijfs.2018.5188 · Cited by 62 · see citing works
A Classification Proposal for Adenomyosis Based on Magnetic Resonance Imaging
Kobayashi, H., & Matsubara, S. (2020) · Gynecologic and Obstetric Investigation · doi:10.1159/000505690 · Cited by 59 · see citing works
Diagnostic Accuracy of Transvaginal Ultrasound and Magnetic Resonance Imaging for Adenomyosis
Liu, L., Li, W., Leonardi, M., Condous, G. S., Costa, F. D. S., Mol, B. W., & Wong, L. (2021) · Journal of Ultrasound in Medicine · doi:10.1002/jum.15635 · Cited by 59 · see citing works
Anterior Focal Adenomyosis and Bladder Deep Infiltrating Endometriosis, Is There a Link?
Marcellin, L., Santulli, P., Bortolato, S., Morin, C., Millischer, A. E., Borghese, B., & Chapron, C. (2018) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2018.02.002 · Cited by 51 · see citing works
Brucker, S. Y., Huebner, M., Wallwiener, M., Stewart, E. A., Ebersoll, S., Schoenfisch, B., & Taran, F. A. (2014) · Fertility and Sterility · doi:10.1016/j.fertnstert.2013.09.038 · Cited by 50 · see citing works
Endometriosis and Pregnancy: A Single Institution Experience
Porpora, M. G., Tomao, F., Ticino, A., Piacenti, I., Scaramuzzino, S., Simonetti, S., Imperiale, L., Sangiuliano, C., Masciullo, L., Manganaro, L., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17020401 · Cited by 47 · see citing works
Adenomyosis: Impact on Fertility and Obstetric Outcomes
Buggio, L., Dridi, D., & Barbàra, G. (2021) · Reproductive Sciences · doi:10.1007/s43032-021-00679-z · Cited by 45 · see citing works
Current exposure of Italian women of reproductive age to PFOS and PFOA: A human biomonitoring study
Felip, E. D., Abballe, A., Albano, F. L., Battista, T., Carraro, V., Conversano, M., Franchini, S., Giambanco, L., Iacovella, N., Ingelido, A. M., et al. (2015) · Chemosphere · doi:10.1016/j.chemosphere.2015.03.046 · Cited by 42 · see citing works
Classifying Adenomyosis: Progress and Challenges
Habiba, M. A., & Benagiano, G. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182312386 · Cited by 42 · see citing works
Impact of endometriosis on obstetric outcome after natural conception: a multicenter Italian study
Berlanda, N., Alio, W., Angioni, S. L., Bergamini, V., Bonin, C., Boracchi, P., Candiani, M., Centini, G., D’Alterio, M. N., Forno, S. D., et al. (2021) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-021-06243-z · Cited by 35 · see citing works
Shi, J., Dai, Y., Zhang, J., Li, X., Jia, S., & Leng, J. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-03851-0 · Cited by 30 · see citing works
Trabert, B. L., Weiss, N. S., Rudra, C. B., Scholes, D., & Holt, V. L. (2011) · Women s Health Issues · doi:10.1016/j.whi.2010.09.005 · Cited by 23 · see citing works
The role of adenomyosis in the pathogenesis of preeclampsia
Hasdemir, P., Farasat, M., Aydin, C., Ozyurt, B., Guvenal, T., & Pekindil, G. (2016) · Geburtshilfe und Frauenheilkunde · doi:10.1055/s-0042-107080 · Cited by 18 · see citing works
Kim, Y., Kim, S. H., Kim, J., Sung, J., Choi, S., Oh, S., & Roh, C. (2019) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/j.tjog.2019.07.004 · Cited by 18 · see citing works
Location of Adenomyosis in Total Hysterectomy Specimens
Ascher‐Walsh, C., Tu, J. L., Du, Y., & Blanco, J. S. (2003) · The Journal of the American Association of Gynecologic Laparoscopists · doi:10.1016/s1074-3804(05)60262-9 · Cited by 16 · see citing works
Jean-Baptiste, H. J. J., Tetrokalashvili, M., Williams, T., Fogel, J., & Hsu, C. (2013) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2013.03.009 · Cited by 15 · see citing works
Demirtaş, G. S., & Uyar, İ. (2021) · Archives of Iranian Medicine · doi:10.34172/aim.2021.54 · Cited by 4 · see citing works
Lax, S. (2009) · Der Pathologe · doi:10.1007/s00292-009-1152-1 · Cited by 3 · see citing works
Xu, P., Zhang, Y. N., You, B. B., Zou, G., & Zhang, X. M. (2021) · PubMed · doi:10.3760/cma.j.cn112141-20210831-00479 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Wu, H., Tsai, T.-C., Liu, S.-M., Pai, A. H.-Y., & Chen, L.-H. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25168937 · Cited by 21 · see citing works
Kolovos, G. N., Dedes, I., Imboden, S., & Mueller, M. D. (2024) · Healthcare · doi:10.3390/healthcare12161641 · Cited by 19 · see citing works
Progression of adenomyosis: Rate and associated factors
Borghese, G., Doglioli, M., Orsini, B., Raffone, A., Neola, D., Travaglino, A., Rovero, G., Forno, S. D., Meis, L. D., Locci, M., et al. (2024) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.15572 · Cited by 20 · see citing works
Akhigbe, R. E., Afolabi, O. A., Adegbola, C. A., Akhigbe, T. M., Oyedokun, P. A., & Afolabi, O. A. (2024) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2024.07.038 · Cited by 13 · see citing works
Gruber, T. M., Ortlieb, L., Henrich, W., & Mechsner, S. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13020414 · Cited by 9 · see citing works
“An association between AM of the posterior uterine wall and placenta praevia has been demonstrated and posterior adhesions may be a risk factor for bleeding complications [33].”
BackgroundWang, W., Zeng, W., & Yang, S. (2024) · Frontiers in Digital Health · doi:10.3389/fdgth.2024.1463419 · Cited by 8 · see citing works
Schawlochow, K., Samartzis, N., Burla, L., Eberhard, M., Kalaitzopoulos, D. R., & Leeners, B. (2024) · Biomedicines · doi:10.3390/biomedicines12112527 · Cited by 8 · see citing works
Lu, K., Zhong, G., Lian, B., Zhong, X., Xie, M., & Wu, Y. (2024) · BMC Women s Health · doi:10.1186/s12905-024-03457-6 · Cited by 9 · see citing works
An overview of endometriosis and molecular target-based therapeutic approach
Paul, D., Agrawal, R., & Iqbal, M. J. (2025) · Middle East Fertility Society Journal · doi:10.1186/s43043-025-00219-8 · Cited by 6 · see citing works
Jung, Y. M., Wi, W. Y., Koo, H. S., Shim, S., Oh, S., Lee, S. M., Chung, J. H., Cho, S., Cho, H., Oh, M., et al. (2024) · Obstetrics & Gynecology Science · doi:10.5468/ogs.23273 · Cited by 7 · see citing works
Guan, X., Liu, D., Zhou, H., Xu, J., Jia, Y., & Li, K. (2025) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-025-07845-0 · Cited by 4 · see citing works
Li, M., Zong, Z., Wang, X., & Zhang, H. (2026) · Journal of Clinical Ultrasound · doi:10.1002/jcu.70167 · Cited by 3 · see citing works
Clinical features and perinatal outcomes in women with adenomyosis
Lü, L., Zhang, K., Gao, X., Wang, M., & Guo, H. (2025) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2025.114631 · Cited by 2 · see citing works
Sokolov, A. D., Arakelyan, A. S., Bychenko, V. G., Stepanian, A. A., Asaturova, A. V., & Adamyan, L. V. (2025) · Russian Journal of Human Reproduction · doi:10.17116/repro20253102192 · Cited by 2 · see citing works
Peragallo-Papic, V., Cerda-Castro, P., Figueroa‐Valdés, A. I., Tobar, H. E., Valdebenito, P., Donoso, M., Bustos, B., Yakcich, J., Peñailillo, R. S., Nardocci, G., et al. (2026) · Human Reproduction Open · doi:10.1093/hropen/hoag020 · Cited by 1 · see citing works
Martire, F. G., Costantini, E., Ianes, I., d’Abate, C., Sorrenti, G., Bonis, M. D., Lazzeri, L., & Zupi, E. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15176722 · Cited by 1 · see citing works
Catherino, W. H., As‐Sanie, S., Cozzolino, M., Marcellin, L., Missmer, S. A., Stewart, E. A., den Bosch, T. V., Chapron, C., & Petraglia, F. (2024) · F&S Science · doi:10.1016/j.xfss.2024.06.006
Intramyometrial Ectopic Pregnancy in a Patient with Adenomyosis: A Rare Case Report
Arlıer, S., & Yavuz, S. Ö. (2026) · Anatolian journal of obstetrics and gynecology research. · doi:10.4274/anajog.galenos.2025.28199
Adenomyosis and Endometriosis: Two Faces of the Same Disease?
Socolov, R. V., Păvăleanu, I., Socolov, D. G., Toma, L. M., & Pruteanu, A. I. (2026) · Obstetrics and gynecology. · doi:10.5772/intechopen.1014688
TANAKA, K., Ono, Y., Ota, H., Miyashita, D., Yoshihara, T., Owada, S., Sasatsu, S., Ogi, M., Okuda, Y., Yamada, H., et al. (2026) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-026-08490-4
- Authors
- Shi, J., Wu, Y., Li, X., Gu, Z., Zhang, C., Yan, H., Dai, Y., & Leng, J.
- Affiliations
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Corresponding author
- Leng, Jinhua
- Venue
- Scientific Reports
- Published
- 2023-09-07
- Volume
- 13
- Issue
- 1
- Pages
- 14714-14714
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC10485030
- OpenAlex
- W4386528869
- Cited by
- 20
- References
- 45
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 10
- FWCI
- 4.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Key Research and Development Program of China (2017YFC1001200)
- National Natural Science Foundation of China (82071628)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- uterine adenomyosis, anatomical localization, pregnancy outcomes, fertility, endometrioma, pelvic adhesions, peritoneal endometriosis, menorrhagia, leiomyoma, miscarriage, IVF-ET, cumulative pregnancy rate, pregnancy complications, Endometriosis Fertility Index
- MeSH terms
- Abortion, Spontaneous, Adult, Endometriosis, Female, Humans, Infant, Newborn, Pregnancy, Pregnancy Outcome, Premature Birth, Young Adult, Adenomyosis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
