Hu YL, Wang A, Chen J. Diagnosis and laparoscopic excision of accessory cavitated uterine mass in a young woman: A case report. World J Clin Cases 2021; 9(30): 9122-9128 [PMID: 34786395 DOI: 10.12998/wjcc.v9.i30.9122]
Corresponding Author of This Article
Jie Chen, MD, PhD, Chief Doctor, Professor, Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, No. 20, 3rd Section, South Renmin Road, Chengdu 610041, Sichuan Province, China. cjzb@sina.com
Research Domain of This Article
Obstetrics & Gynecology
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. Oct 26, 2021; 9(30): 9122-9128 Published online Oct 26, 2021. doi: 10.12998/wjcc.v9.i30.9122
Diagnosis and laparoscopic excision of accessory cavitated uterine mass in a young woman: A case report
Yu-Lu Hu, Ao Wang, Jie Chen
Yu-Lu Hu, Ao Wang, Jie Chen, Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Yu-Lu Hu, Ao Wang, Jie Chen, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu 610041, Sichuan Province, China
Author contributions: Hu YL performed the data collection and manuscript writing; Wang A performed the data collection and figure preparation; Chen J reviewed and edited the manuscript; All authors have read and approved the final manuscript.
Informed consent statement: Written informed consent for publication of this case study has been obtained from the legally authorized representative of this patient.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: Jie Chen, MD, PhD, Chief Doctor, Professor, Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, No. 20, 3rd Section, South Renmin Road, Chengdu 610041, Sichuan Province, China. cjzb@sina.com
Received: March 19, 2021 Peer-review started: March 19, 2021 First decision: July 26, 2021 Revised: July 30, 2021 Accepted: September 16, 2021 Article in press: September 16, 2021 Published online: October 26, 2021
Abstract
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.
Core Tip: We present a case of accessory cavitated uterine mass (ACUM) treated with laparoscopic excision. The patient had no further dysmenorrhea after operation. ACUMs are generally underdiagnosed and often reported as juvenile cystic adenomyomas. Early surgical treatment including laparoscopic or open lump removal could prevent prolonged suffering in these young women. ACUM is considered a new variety of Müllerian anomaly.
