Yeungnam Univ J Med.  2021 Jul;38(3):235-239. 10.12701/yujm.2020.00696.

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

Affiliations
  • 1Department of Obstetrics and Gynecology, Keimyung University School of Medicine, Daegu, Korea
  • 2Department of Forensic Medicine, School of Medicine, Kyungpook National University, Daegu, Korea

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.

Keyword

Adenomyoma; Adolescent; Dysmenorrhea; Laparoscopy; Uterus
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