Juvenile cystic adenomyoma mimicking a Mullerian uterine anomaly successfully treated by laparoscopic excision

Strelec, Mihajlo; Banović, Maja; Banović, Vladimir; Sirovec, Alenka

doi:10.1002/ijgo.12880

Cited by 9 publications

(18 citation statements)

References 3 publications

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“…The authors reported complete resolution of the cyst associated with symptomatic relief (Nabeshima et al, 2008). Following this report, many other authors reported successful laparoscopic management of such cases (Dadhwal et al, 2017;Kriplani et al, 2011;Takeuchi et al, 2010;Ball et al, 2009;Takeda et al, 2007;Jain and Goel 2012;Strelec et al, 2019;Deblaere et al, 2019). The technique of laparoscopic excision of JCA in case 1 and case 3 of our series is similar to the techniques described by other investigators (Dadhwal et al, 2017;Kriplani et al, 2011;Takeuchi et al, 2010;Ball et al, 2009;Takeda et al, 2007;Jain and Goel, 2012;Strelec et al, 2019;Deblaere et al, 2019).…”

Section: Discussionsupporting

confidence: 79%

“…Following this report, many other authors reported successful laparoscopic management of such cases (Dadhwal et al, 2017;Kriplani et al, 2011;Takeuchi et al, 2010;Ball et al, 2009;Takeda et al, 2007;Jain and Goel 2012;Strelec et al, 2019;Deblaere et al, 2019). The technique of laparoscopic excision of JCA in case 1 and case 3 of our series is similar to the techniques described by other investigators (Dadhwal et al, 2017;Kriplani et al, 2011;Takeuchi et al, 2010;Ball et al, 2009;Takeda et al, 2007;Jain and Goel, 2012;Strelec et al, 2019;Deblaere et al, 2019). In addition, there are three case reports in the literature of laparoscopic excision of a cystic mass from a unique location, namely the broad ligament (Shah et al, 2018;Trehan and Trehan, 2014;Chauhan et al, 2017).…”

Section: Discussionsupporting

confidence: 76%

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Minimally invasive management of juvenile cystic adenomyoma: report of three cases

Said¹,

Afaneh²,

Zaghmout³

et al. 2021

Facts Views Vis ObGyn

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Background: Juvenile cystic adenomyosis (JCA) represents a rare form of focal adenomyosis in young women. Objectives: To determine safety and effectiveness of minimally invasive surgery (MIS for JCA). Materials and Methods: Three patients aged 16-30 years old presented with chronic pelvic pain [2016 - 2019]. Hormonal treatment failed in two cases. Cystic lesions in the myometrium (n=2), and the broad ligament (n=1) was detected on transvaginal 2D ultrasound (TV 2D US) and/or magnetic resonance imaging (MRI). The cyst was separate from the endometrium in all the cases, within the myometrium in two patients and in the right broad ligament in one case. The cystic lesions were confirmed on laparoscopy; and laparoscopic excision of the cysts with adequate repair of the myometrial beds were performed in all cases with fertility preservation. Robotic assistance was chosen in one case in an attempt to avoid injury of the fallopian tube based on the cyst location during a previous laparoscopy. The endometrial cavity was entered in one case. Main outcome measures: Absence of intraoperative complications and relief of presenting symptoms postoperatively. Results: Pathology report confirmed the diagnosis of JCA is all cases. There were no intraoperative complications. All three patients reported relief of their symptoms 6 to 8 months after surgery. No recurrence of the JCA was reported using TV 2D US in all cases. Conclusions: MIS could be the treatment of choice for patients with JCA. The technique described in our study is safe, effective, and easy to master in experienced hands. What is new? Value of MIS in treatment of patients with JCA.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionsupporting

confidence: 76%

Minimally invasive management of juvenile cystic adenomyoma: report of three cases

Said¹,

Afaneh²,

Zaghmout³

et al. 2021

Facts Views Vis ObGyn

View full text Add to dashboard Cite

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“…Various terms have been used to describe what we now call ‘ACUMs’. These include ‘juvenile cystic adenomyoma’, 4,9,13–24 ‘isolated cystic adenomyoma’, 5,10–12,25,26 ‘uterine‐like mass’, 27,28 or ‘accessory uterine cavity’ 2,29,30 . In 2010, Acién et al.…”

Section: Nomenclaturementioning

confidence: 99%

“…Severe dysmenorrhoea is the commonest presenting symptom for women with ACUMs 3,7,12,13,15,23,34,35 . The pain can be central or ipsilateral to the side of the ACUM and may be accompanied by chronic pelvic pain 1,3,8,21,28,34 .…”

Section: Clinical Presentationmentioning

confidence: 99%

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Accessory cavitated uterine malformations (ACUMs): an unfamiliar cause of dysmenorrhoea

Setty

Naftalin

2022

The Obstetric & Gynaecologis

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Key Content Accessory cavitated uterine malformations (ACUMs) are isolated cavitated lesions within the lateral aspect of the myometrium, inferior to the attachment of the round ligament. They are a rare Müllerian anomaly and are increasingly recognised as a cause for severe dysmenorrhoea and pelvic pain. ACUMs can be diagnosed with ultrasound and magnetic resonance imaging, where they appear as well‐defined lesions with a central cavity containing haemorrhagic content, surrounded by a myometrial mantle. On histological examination, the cavity is lined by functional endometrial glands and stroma. Recognised treatments include hormonal suppression, destruction of the endometrial lining by alcohol sclerotherapy, or complete surgical excision, which has demonstrated curative results. Learning Objectives To know what ACUMs are and recognise them as a cause of dysmenorrhoea and pelvic pain. To be able to diagnose an ACUM with the use of ultrasound, MRI and histological findings if surgically excised. To be able to counsel patients with ACUMs on the different management options, including conservative, medical and surgery. Ethical issues All women with ACUMs are currently offered surgical excision, but is it appropriate to offer this, to patients as young as 13 years old, with no long‐term data on the effect of surgery on future fertility?

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Accessory cavitated uterine malformation: Enhancing awareness about this unexplored perpetrator of dysmenorrhea

Mondal

Bhave

2023

Intl J Gynecology & Obste

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An accessory cavitated uterine mass (or malformation) (ACUM) is an isolated cystic uterine lesion located at the lateral aspect of the myometrium just below the insertion of the round ligament. Often the source of severe dysmenorrhea and pelvic pain, this condition is classified as a Müllerian abnormality. Understanding ACUMs, recognizing their clinical appearance, diagnosing an ACUM with ultrasound or magnetic resonance imaging, and advising patients about conservative, medicinal, and surgical treatment options is important to all clinicians. Although ACUM primarily presents with severe dysmenorrhea but can have other clinical symptoms, we have provided a few sample cases to help clinicians prepare for ACUM encounters. We also reviewed the other published literature available on ACUM regarding clinical presentation, etiology, and management. Last but not least, based on our research and the work of others, we offer a set of characteristics that will be useful in diagnosing and treating ACUM. ACUM diagnosis is crucial in clinically suspicious circumstances, and early treatment significantly enhances patients' quality of life.

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Juvenile cystic adenomyoma mimicking a Mullerian uterine anomaly successfully treated by laparoscopic excision

Abstract: A 14‐year‐old patient diagnosed with a juvenile cystic adenomyoma mimicking a Mullerian uterine anomaly successfully treated by a laparoscopic excision.

Cited by 9 publications

References 3 publications

Minimally invasive management of juvenile cystic adenomyoma: report of three cases

Minimally invasive management of juvenile cystic adenomyoma: report of three cases

Accessory cavitated uterine malformations (ACUMs): an unfamiliar cause of dysmenorrhoea

Accessory cavitated uterine malformation: Enhancing awareness about this unexplored perpetrator of dysmenorrhea

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