Is It Time to Rethink the Traditional Teaching about Adenomyosis?

Knox, Benita; Grover, Sonia; Villegas, Rocio

doi:10.1016/j.jpag.2016.07.009

Cited by 1 publication

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“…Menstrual suppression using continuous oral contraceptive pills, gonadotropin-releasing hormone analogs, and nonsteroidal anti-inflammatory drugs may provide temporary and partial pain relief in JCA (5,9), but laparoscopic resection remains the most effective treatment (5). The recurrence of JCA has not been reported yet.…”

Section: Discussionmentioning

confidence: 99%

Juvenile cystic adenomyoma, a rare diagnostic challenge: Case Reports and literature review

Arya

Burks

2021

F&S Reports

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Objective: To report 2 very rare cases of young women who presented with severe dysmenorrhea and a large cystic lesion in the myometrium, which presented a diagnostic dilemma because they were confused with a M€ ullerian anomaly. Design: Case reports and a literature review. Setting: A university-based reproductive endocrinology and infertility clinic in the United States. Patient(s): An 18-and a 16-year-old nulliparous girl presented with worsening of their longstanding pelvic pain, and imaging study results were suggestive of a M€ ullerian anomaly. Intervention(s): Abdominal and pelvic computed tomography, transvaginal ultrasonography, pelvic magnetic resonance imaging, operative laparoscopy, and excision of a juvenile cystic adenomyoma (JCA). Main Outcome Measure(s): Resolution of the pelvic pain and restoration of normal uterine anatomy after appropriate intervention Result(s): Restoration of normal uterine anatomy, which was confirmed by 3-dimensional ultrasonography for case 1; however, case 2 still had a small remnant of JCA postoperatively. Conclusion(s): Clinical and radiologic examinations may not be useful in differentiating a M€ ullerian anomaly from other rare abnormalities like JCA. When in doubt, laparoscopy can assist in diagnosing and treating the condition.

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Section: Discussionmentioning

confidence: 99%