DOI QR코드

DOI QR Code

Successful laparoscopic surgery of accessory cavitated uterine mass in young women with severe dysmenorrhea

  • Park, Joon Cheol (Department of Obstetrics and Gynecology, Keimyung University School of Medicine) ;
  • Kim, Dong Ja (Department of Forensic Medicine, School of Medicine, Kyungpook National University)
  • Received : 2020.08.04
  • Accepted : 2020.08.31
  • Published : 2021.07.31

Abstract

Accessory cavitated uterine mass (ACUM) is a rare and unique condition seen in young women. We report cases of ACUMs in two patients, a 14-year-old girl and a 25-year-old woman, both with complaints of severe dysmenorrhea that had started at menarche and had progressively worsened since. A large cystic lesion was localized in the anterolateral wall of the myometrium separate from the endometrium, which was difficult to distinguish from congenital uterine anomalies. Laparoscopic excision of the ACUMs was successful and completely resolved the dysmenorrhea. Early investigation of severe dysmenorrhea in young women can provide appropriate management and relieve symptoms.

Keywords

References

  1. Bedaiwy MA, Henry DN, Elguero S, Pickett S, Greenfield M. Accessory and cavitated uterine mass with functional endometrium in an adolescent: diagnosis and laparoscopic excision technique. J Pediatr Adolesc Gynecol 2013;26:e89-91. https://doi.org/10.1016/j.jpag.2012.11.003
  2. Tamai K, Koyama T, Umeoka S, Saga T, Fujii S, Togashi K. Spectrum of MR features in adenomyosis. Best Pract Res Clin Obstet Gynaecol 2006;20:583-602. https://doi.org/10.1016/j.bpobgyn.2006.01.009
  3. Nabeshima H, Murakami T, Nishimoto M, Sugawara N, Sato N. Successful total laparoscopic cystic adenomyomectomy after unsuccessful open surgery using transtrocar ultrasonographic guiding. J Minim Invasive Gynecol 2008;15:227-30. https://doi.org/10.1016/j.jmig.2007.10.007
  4. Acien P, Acien M, Fernandez F, Jose Mayol M, Aranda I. The cavitated accessory uterine mass: a Mullerian anomaly in women with an otherwise normal uterus. Obstet Gynecol 2010;116: 1101-9. https://doi.org/10.1097/AOG.0b013e3181f7e735
  5. Jain N, Verma R. Imaging diagnosis of accessory and cavitated uterine mass, a rare mullerian anomaly. Indian J Radiol Imaging 2014;24:178-81. https://doi.org/10.4103/0971-3026.134411
  6. Paul PG, Chopade G, Das T, Dhivya N, Patil S, Thomas M. Accessory cavitated uterine mass: a rare cause of severe dysmenorrhea in young women. J Minim Invasive Gynecol 2015;22: 1300-3. https://doi.org/10.1016/j.jmig.2015.06.007
  7. Takeda A, Sakai K, Mitsui T, Nakamura H. Laparoscopic management of juvenile cystic adenomyoma of the uterus: report of two cases and review of the literature. J Minim Invasive Gynecol 2007;14:370-4. https://doi.org/10.1016/j.jmig.2007.01.005
  8. Brosens I, Gordts S, Habiba M, Benagiano G. Uterine cystic adenomyosis: a disease of younger women. J Pediatr Adolesc Gynecol 2015;28:420-6. https://doi.org/10.1016/j.jpag.2014.05.008
  9. Nabeshima H, Murakami T, Terada Y, Noda T, Yaegashi N, Okamura K. Total laparoscopic surgery of cystic adenomyoma under hydroultrasonographic monitoring. J Am Assoc Gynecol Laparosc 2003;10:195-9. https://doi.org/10.1016/S1074-3804(05)60298-8
  10. Takeuchi H, Kitade M, Kikuchi I, Kumakiri J, Kuroda K, Jinushi M. Diagnosis, laparoscopic management, and histopathologic findings of juvenile cystic adenomyoma: a review of nine cases. Fertil Steril 2010;94:862-8. https://doi.org/10.1016/j.fertnstert.2009.05.010
  11. Fisseha S, Smith YR, Kumetz LM, Mueller GC, Hussain H, Quint EH. Cystic myometrial lesion in the uterus of an adolescent girl. Fertil Steril 2006;86:716-8. https://doi.org/10.1016/j.fertnstert.2006.03.019
  12. Pontrelli G, Bounous VE, Scarperi S, Minelli L, Di Spiezio Sardo A, Florio P. Rare case of giant cystic adenomyoma mimicking a uterine malformation, diagnosed and treated by hysteroscopy. J Obstet Gynaecol Res 2015;41:1300-4. https://doi.org/10.1111/jog.12698
  13. Kim MJ. A case of cystic adenomyoma of the uterus after complete abortion without transcervical curettage. Obstet Gynecol Sci 2014;57:176-9. https://doi.org/10.5468/ogs.2014.57.2.176
  14. Tahlan A, Nanda A, Mohan H. Uterine adenomyoma: a clinicopathologic review of 26 cases and a review of the literature. Int J Gynecol Pathol 2006;25:361-5. https://doi.org/10.1097/01.pgp.0000209570.08716.b3
  15. Ho ML, Ratts V, Merritt D. Adenomyotic cyst in an adolescent girl. J Pediatr Adolesc Gynecol 2009;22:e33-8. https://doi.org/10.1016/j.jpag.2008.01.075
  16. Ryo E, Takeshita S, Shiba M, Ayabe T. Radiofrequency ablation for cystic adenomyosis: a case report. J Reprod Med 2006;51: 427-30.
  17. Kumakiri J, Kikuchi I, Sogawa Y, Jinushi M, Aoki Y, Kitade M, et al. Single-incision laparoscopic surgery using an articulating monopolar for juvenile cystic adenomyoma. Minim Invasive Ther Allied Technol 2013;22:312-5. https://doi.org/10.3109/13645706.2013.789060
  18. Akar ME, Leezer KH, Yalcinkaya TM. Robot-assisted laparoscopic management of a case with juvenile cystic adenomyoma. Fertil Steril 2010;94:e55-6.