Accessory Cavitated Uterine Malformation: A Case Report and Literature Review

doi:10.12280/gjfckx.20230008

Abstract

Abstract:

Accessory cavitated uterine malformation(ACUM) is a rare form of Müllerian anomaly, usually presents with progressive and aggravating dysmenorrhea from menarche. It should be distinguished from cystic adenomyoma, degenerating cystic leiomyoma and the other form of obstructive Müllerian anomaly. Surgery is its main treatment option. In this study, we present an adolescent female with progressive worsening dysmenorrhea, nausea and vomiting, pain in the left iliac fossa and need to take painkillers. In August 2022, three-dimensional pelvic ultrasound in our hospital showed: basic normal uterine cavity shape, left side wall heterogeneity nodular echo 28 mm×26 mm×20 mm with endometrial echo within 11 mm×10 mm×7 mm, suspected cystic focal uterine adenomyosis or ACUM. Laparoscopic exploration was performed. The appearance of the uterus was normal, the left anterior wall and at the anterior and inferior part of round ligament were slightly full. The uterine wall of slightly full was resected, a pale and tough masses were found and resected completely for examination. ACUM was confirmed by pathology. Symptoms disappeared after follow-up surgery.

Key words: Accessory cavitated uterine malformation, Uterus, Congenital abnormalities, Mullerian ducts, Dysmenorrhea, Case reports

SU Dan, LI Si-jing, HUANG Xiao-wu, XIA En-lan. Accessory Cavitated Uterine Malformation: A Case Report and Literature Review[J]. Journal of International Obstetrics and Gynecology, 2023, 50(3): 266-270.

Figures/Tables 7

References 22

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