Diagnosis and laparoscopic excision of accessory cavitated uterine mass in a young woman:A case report  

作　　者：Yu-Lu Hu Ao Wang Jie Chen 

机构地区：[1]Department of Obstetrics and Gynecology,West China Second University Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China [2]Key Laboratory of Birth Defects and Related Diseases of Women and Children,Sichuan University,Ministry of Education,Chengdu 610041,Sichuan Province,China

出　　处：《World Journal of Clinical Cases》2021年第30期9122-9128,共7页世界临床病例杂志

摘　　要：BACKGROUND Accessory and cavitated uterine mass(ACUM)is an uncommon form of connate Müllerian anomaly seen in young and nulliparous women,which presents as chronic periodic pelvic pain and severe dysmenorrhea.The entity is often underdiagnosed due to a broad differential diagnosis,including rudimentary uterine horn,true cavitated adenomyosis and degenerating fibroids.CASE SUMMARY A 22-year-old woman who presented with severe dysmenorrhea and was initially misdiagnosed with cystic adenomyosis.Gynecological examination and ultrasonography were performed.The patient underwent laparoscopic excision of the mass and histopathological examination confirmed the diagnosis.Postoperatively,the patient did well,with no further dysmenorrhea.CONCLUSION ACUM is difficult to diagnose.A correct diagnosis can be made only after excision and histopathological evaluation.Surgical excision is necessary and can be carried out by laparoscopy.

关 键 词：Accessory and cavitated uterine mass Müllerian anomaly Diagnosis Imaging Laparoscopic excision Case report 

分 类 号：R713.4[医药卫生—妇产科学]