Subserosal adenomyotic cysts and peritoneal inclusion cysts – Unusual differential diagnoses of multicystic pelvic masses: A review of two cases

Chua, Heidi K; Goh, Suzanne; Upamali, Varuni; Seet, Meei Jiun; Wong, P. C.; Phoon, W.L. Jessie

doi:10.1016/j.crwh.2020.e00193

Cited by 5 publications

(1 citation statement)

References 15 publications

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“…MRI can accurately assess the contents of CA, endometrial and muscular tissue, and the junction area. The fluid in the cysts shows a high signal intensity on T1-weighted images, and the surrounding muscular layer shows low signal intensity on T2-weighted images [10,21]. Hysteroscopy can diagnose adenomyosis according to the special microscopic manifestations [22].…”

Section: Discussionmentioning

confidence: 99%

Secondary cystic adenomyosis in a young woman: a case report

Li¹,

Song²,

Xia³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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Background: Cystic adenomyosis (CA) is a rare form of adenomyosis. Case: We present for the first time secondary CA in a young woman with increased menstrual volume as the main clinical manifestation. A 23-year-old woman with a history of two uterine surgeries was hospitalized with increased menstrual flow volume and no dysmenorrhea or other discomfort. Ultrasound resulted in misdiagnosis as myoma of the uterus. She underwent laparoscopic surgery for adenomyoma excision with levonorgestrel-releasing intrauterine system (LNG-IUS) placement. During surgery, the lesions were completely removed under ultrasound guidance, and a specimen bag was used to reduce residual lesions in the abdominal cavity. She was postoperative treated with gonadotropin-releasing hormone analog (GnRH-a). Surgical findings and postoperative pathology confirmed CA. She has been followed up for 2 years without recurrence. Conclusions: A CA diagnosis should be considered for clinical manifestations of increased menstrual volume and dysmenorrhea in young patients with previous uterine surgery histories. Magnetic resonance imaging (MRI) is very important for CA diagnosis. Conservative surgery along with GnRH-a and LNG-IUS therapy can effectively prevent recurrence.

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Section: Discussionmentioning

confidence: 99%