Pelvic Pain and Adnexal Mass: Be Aware of Accessory and Cavitated Uterine Mass

Accessory and cavitated uterine mass (ACUM) is a rare form of Mullerian anomaly that usually presents in young females with chronic cyclic pelvic pain and/or dysmenorrhea. This clinical entity is often underdiagnosed as it may be mistaken for other differential diagnoses, such as pedunculated myoma...

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Bibliographic Details
Published in:Case reports in medicine 2021, Vol.2021, p.6649663-6
Main Authors: Iranpour, Pooya, Haseli, Sara, Keshavarz, Pedram, Dehghanian, Amirreza, Khalili, Neda
Format: Article
Language:English
Subjects:
Case Report
Case reports
Chronic pain
Cysts
Diagnosis
Endometrium
Fallopian tubes
Fibroids
Laparotomy
Ligaments
Magnetic resonance imaging
Medical research
Medicine, Experimental
Menarche
Menstruation
Ovaries
Pain
Pelvic pain
Teenage girls
Ultrasonic imaging
Uterus
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Description
Summary:Accessory and cavitated uterine mass (ACUM) is a rare form of Mullerian anomaly that usually presents in young females with chronic cyclic pelvic pain and/or dysmenorrhea. This clinical entity is often underdiagnosed as it may be mistaken for other differential diagnoses, such as pedunculated myoma or adnexal lesions. Imaging modalities, including ultrasonography and magnetic resonance imaging (MRI), accompanied with relevant and suspicious clinical findings are important tools in making acorrect diagnosis. To date, surgical excision of the mass remains the mainstay of treatment,which provides significant symptom relief. In this study, we present a female adolescent with chronic pelvic pain since menarche who underwent laparotomy with the presumed diagnosis of a left-sided ovarian mass. Retrospective evaluation of pelvic MR images demonstrated that the lesion was in fact an ACUM, which was further confirmed by histopathological examination.
ISSN:1687-9627
1687-9635
DOI:10.1155/2021/6649663