Accessory Cavitated Uterine Mass: A Rare Cause of Severe Dysmenorrhea in Young Women

Paul, P.G.; Chopade, Gaurav; Das, Tanuka; Dhivya, N.; Patil, Saurabh; Mh, Thomas

doi:10.1016/j.jmig.2015.06.007

Cited by 16 publications

(28 citation statements)

References 8 publications

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“…He did laparoscopic excision for all 3 cases, where the ACUM was ruptured and chocolate material let out then the mass was removed using traction with myoma screw. 7 In our case, we did not use myoma screw to avoid opening up of cavity; instead, we used toothed graspers for traction and mass excision using harmonics.…”

Section: Discussionmentioning

confidence: 93%

Laparoscopic excision of accessory cavitated uterine mass and its vaginal retrieval in toto

Mani

Kasthuri

2021

Int J Reprod Contracept Obstet Gynecol

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Accessory cavitated uterine mass (ACUM), a rare cause of dysmenorrhoea, has to be diagnosed with essential criteria and is to be treated with appropriate surgery. Hereby, presenting the surgical approach by laparoscopy and vaginal retrieval of the specimen in toto as a perfect tool. We report a rare case study of ACUM, a mullerian anomaly in a 27 years old female with severe dysmenorrhoea with secondary infertility, evaluated and diagnosed as ACUM. Preoperative diagnosis and surgical plane evaluation are made by ultrasound and magnetic resonance imaging. Hysteroscopic examination of the cavity was normal and laparoscopic excision of an ill-defined mass in the anterior and right lateral wall of 3×2 cm followed by retrieval of the specimen through a pouch of Douglas. Myometrial defect sutured. Cut section showed chocolate coloured fluid in the endometrial cavity and the same confirmed by histopathology. This is the first case report doing vaginal retrieval of ACUM in toto.

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Section: Discussionmentioning

confidence: 93%

Laparoscopic excision of accessory cavitated uterine mass and its vaginal retrieval in toto

Mani

Kasthuri

2021

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

“…The typical feature of juvenile cystic adenomyoma or ACUM is early-onset severe dysmenorrhea, which usually starts soon after menarche and is refractory to medical treatments [ 6 ]. ACUM was first described by Acién et al [ 4 ] in 2010 and was described as juvenile cystic adenomyosis [ 6 , 7 ]. The diagnostic criteria for ACUM are as follows: (1) an isolated accessory cavitated mass; (2) a normal uterus (endometrial lumen), fallopian tubes, and ovaries; (3) surgical evidence with an excised mass and pathological findings; (4) an accessory cavity lined with endometrial epithelium with glands and stroma; (5) chocolate-brown colored fluid content; and (6) no adenomyosis (if the uterus has been removed), although there could be small foci of adenomyosis in the myometrium adjacent to the accessory cavity [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

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

Park

Kim

2021

Yeungnam Univ J Med

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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.

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“…Such women may have chronic pain abdomen, dysmenorrhoea, dyspareunia, subfertility and pregnancy complications like abortions, ectopic pregnancies, cervical incompetence, growth retardation, preterm labour and many others. 6 The acute pain may be due to hematometra or hematosalpinx or torsion, which if not operated soon would compromise the tubo-ovarian viability. Torsion in the adolescent age group could be attributed to an enlarged utero-ovarian ligament or Mullerian anomalies as there are abnormal connections between the ovary and other structures.…”

Section: Discussionmentioning

confidence: 99%

Torsion in a massive hematosalpinx with a functional rudimentary horn: a rare cause of acute abdomen in adolescence, managed laparoscopically

Misra

Jain

2020

Int J Reprod Contracept Obstet Gynecol

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Congenital anomalies of the female genital tract may remain undiagnosed till adolescence. Unicornuate uterus with a rudimentary horn is rare and found in 1 in 100000 women. A functional rudimentary horn may cause hematometra, hematosalpinx, endometriosis and its complications. This is a case of a 13-year-old girl who had a hematometra in a functional rudimentary horn and a hematosalpinx with torsion giving rise to an acute abdomen and a 16-week mass abdomen. Laparoscopy was done followed by detorsion, salpingectomy and transection of the rudimentary horn. This article should sensitize the need to correct the anomaly while preserving the reproductive potential of the girl. A review of the salient points of laparoscopy in such cases have been further discussed.

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Accessory Cavitated Uterine Mass: A Rare Cause of Severe Dysmenorrhea in Young Women

Cited by 16 publications

References 8 publications

Laparoscopic excision of accessory cavitated uterine mass and its vaginal retrieval in toto

Laparoscopic excision of accessory cavitated uterine mass and its vaginal retrieval in toto

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

Torsion in a massive hematosalpinx with a functional rudimentary horn: a rare cause of acute abdomen in adolescence, managed laparoscopically

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