Imaging diagnosis of accessory and cavitated uterine mass, a rare mullerian anomaly

Jain, Nishchint; Verma, Ritu

doi:10.4103/0971-3026.134411

Cited by 33 publications

(53 citation statements)

References 12 publications

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“…Though the MRI results were misinterpreted by our radiologist, MRI is the imaging modality of choice as it is non-invasive and clearly shows the pelvic anatomy, cavitated mass with hemorrhagic contents, and the uterus, myometrium, and endomyometrial interface [2].…”

Section: Discussionmentioning

confidence: 99%

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Juvenile Cystic Adenomyoma Mimicking a Uterine Anomaly: a Report of Two Cases

Dadhwal¹,

Sharma²,

Khoiwal³

2017

Eurasian J Med

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Section: Discussionmentioning

confidence: 99%

“…Because of improved imaging techniques and increased awareness, many cases of JCA are now being reported. These lesions are known by several names such as JCA, juvenile adenomyotic cyst, and recently, as an accessory and cavitated uterine mass [1][2][3]. Its exact etiology is unknown.…”

Section: Discussionmentioning

confidence: 99%

Juvenile Cystic Adenomyoma Mimicking a Uterine Anomaly: a Report of Two Cases

Dadhwal¹,

Sharma²,

Khoiwal³

2017

Eurasian J Med

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“…Uterus, fallopian tubes and ovaries are usually normal. Gubernaculum dysfunctions : These cases are typified by accessory and cavitated uterine masses (ACUMs) with an otherwise normal uterus [ 51 – 53 ]. HSG will show a normal endometrial cavity and 3D-US and especially MR allow the right diagnosis.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

Diagnostic imaging and cataloguing of female genital malformations

Acién

2016

Insights Imaging

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To help physicians and radiologists in the diagnosis of female genito-urinary malformations, especially of complex cases, the embryology of the female genital tract, the basis for Müllerian development anomalies, the current classifications for such anomalies and the comparison for inclusion and cataloguing of female genital malformations are briefly reviewed. The use of the embryological system to catalogue female genito-urinary malformations may ultimately be more useful in correlations with clinical presentations and in helping with the appropriate diagnosis and treatment. Diagnostic imaging of the different genito-urinary anomalies are exposed, placing particular emphasis on the anomalies within group II of the embryological and clinical classification (distal mesonephric anomalies), all of them associated with unilateral renal agenesis or dysplasia. Similarly, emphasis is placed on cases of cervico-vaginal agenesis, cavitated noncommunicated uterine horns, and cloacal and urogenital sinus anomalies and malformative combinations, all of them complex malformations. Diagnostic imaging for all these anomalies is essential. The best imaging tools and when to evaluate for other anomalies are also analysed in this review.Teaching points• The appropriate cataloguing of female genital malformations is controversial.• An embryological classification system suggests the best diagnosis and appropriate management.• The anomalies most frequently diagnosed incorrectly are the distal mesonephric anomalies (DMAs).• DMAs are associated with unilateral renal agenesis or renal dysplasia with ectopic ureter.• We analyse other complex malformations. Diagnostic imaging for these anomalies is essential.

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“…MRI can also confirm the presence of a cavitated mass with hemorrhagic contents. 2 It is also important to rule out other pathologies, including other Müllerian anomalies or cystic adenomyosis. In order to evaluate for other Müllerian anomalies, a hysterosalpingogram should be performed to confirm a normal uterine cavity with patent Fallopian tubes.…”

Section: Discussionmentioning

confidence: 99%

“…Since that time, *36 cases [2][3][4] have been reported as accessory uterine cavities or juvenile cystic adenomas. These lesions are all masses lined with endometrial glands and stroma, are surrounded by myometrium, and are noncommunicating with the normal endometrial cavity.…”

Section: Introductionmentioning

confidence: 98%

Pregnancy in an Accessory Uterine Cavity: A Case Report and Review of the Literature

RepichKara

DettloffJennifer

BadawyShawky

2015

Journal of Gynecologic Surgery

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Background: An accessory uterine cavity is an unclassified anomaly of the paramesonephric ducts. It is a cause of severe cyclic pelvic pain. Pregnancy may occur in this cavity. Case: A 32-year-old female presented with recurrent cyclic pelvic pain. Previously, she had several pregnancies: one was full term and the others three ended in miscarriages. She was diagnosed with an accessory uterine cavity, based on hysterosalpingogram and laparoscopy findings. She became pregnant in the accessory cavity, required methotrexate treatment, and finally surgical excision. Pathology was confirmatory for the presence of an acessory uterine cavity. Results: Postoperatively, this patient's course was uncomplicated, and she was discharged to go home on postoperative day 1. Conclusions: Diagnosis of an accessory uterine cavity is based on normal hysterosalpingogram results and the presence of a mass lesion in one side or the other of the uterine fundus. Surgical excision relieves patients' symptoms and prevents ectopic pregnancy in that accessory uterine cavity. ( J GYNECOL SURG 31:347)

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Imaging diagnosis of accessory and cavitated uterine mass, a rare mullerian anomaly

Cited by 33 publications

References 12 publications

Juvenile Cystic Adenomyoma Mimicking a Uterine Anomaly: a Report of Two Cases

Juvenile Cystic Adenomyoma Mimicking a Uterine Anomaly: a Report of Two Cases

Diagnostic imaging and cataloguing of female genital malformations

Pregnancy in an Accessory Uterine Cavity: A Case Report and Review of the Literature

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