Fan YY, Liu YN, Li J, Fu Y. Intrauterine cystic adenomyosis: Report of two cases. World J Clin Cases 2019; 7(5): 676-683 [PMID: 30863769 DOI: 10.12998/wjcc.v7.i5.676]
Corresponding Author of This Article
Yan Fu, MD, Chief Doctor, Department of Obstetrics and Gynecology, the First Hospital of Jilin University, No. 71, Xinmin Street, Changchun 130021, Jilin Province, China. yanfudoc@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 6, 2019; 7(5): 676-683 Published online Mar 6, 2019. doi: 10.12998/wjcc.v7.i5.676
Intrauterine cystic adenomyosis: Report of two cases
Yan-Yan Fan, Yi-Nan Liu, Jia Li, Yan Fu
Yan-Yan Fan, Jia Li, Yan Fu, Department of Obstetrics and Gynecology, the First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Yi-Nan Liu, Department of Otorhinolaryngology, Jilin Province FAW General Hospital, Changchun 130011, Jilin Province, China
Author contributions: Fan YY, Liu YN, Li J, and Fu Y participated in the diagnosis and management of this case; Fan YY wrote the manuscript; Fu Y revised the manuscript; all authors read and approved the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared according to CARE checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yan Fu, MD, Chief Doctor, Department of Obstetrics and Gynecology, the First Hospital of Jilin University, No. 71, Xinmin Street, Changchun 130021, Jilin Province, China. yanfudoc@163.com
Telephone: +86-431-81875228 Fax: +86-431-81875228
Received: June 20, 2018 Peer-review started: June 20, 2018 First decision: July 8, 2018 Revised: February 6, 2019 Accepted: February 18, 2019 Article in press: February 18, 2019 Published online: March 6, 2019 Processing time: 259 Days and 7.8 Hours
Abstract
BACKGROUND
Cystic adenomyosis is a special type of adenomyosis. Its clinical manifestations lack specificity. Pelvic ultrasound and nuclear magnetic resonance imaging can help clarify the diagnosis. Because cystic uterine adenomyosis is rare in clinical work, it can be easily misdiagnosed or its diagnosis can be missed. Early surgical treatment and postoperative drug treatment can alleviate dysmenorrhea, menorrhagia, anemia, and other symptoms.
CASE SUMMARY
Two cases complained about abnormal vaginal bleeding and were diagnosed with intrauterine cystic adenomyosis by gynecological ultrasound and pathological examination. The clinical manifestations included dysmenorrhea, hypermenorrhea, and a history of cesarean section. Both cases underwent a surgery, and chocolate-like liquid was released from the cystic mass in the uterus and the manifestations were relieved.
CONCLUSION
Intrauterine cystic adenomyosis could be diagnosed by pathological examination and treated by hysterectomy or hystscopy to release the liquid inside.
Core tip: Because cystic uterine adenomyosis is rare in clinical work, it is easy to misdiagnose it or miss its diagnosis. We present two cases of intrauterine cystic adenomyosis that were recently treated at our department to explore its clinical features and treatment options so as to provide a reference for the early diagnosis and rational treatment of the disease.
