A case of uterine cystic adenomyosis treated with laparoscopic enucleation

Orie Kobayashi, Aya Masunaga, Hiroyuki Kurosu, Motoko Kanno, Tomomi Kikuchi, Ryou Yano, Tomomi Ohkawa, Kanako Tsukamoto, Eriko Katsute, Tatsuo Yamazaki, Hideki Iwamoto, Kazuya Tamura, Shouji Ohta, Yaeko Kobayashi, Satoshi Umezawa
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2015 · vol. 31(1) , pp. 227–231 · doi:10.5180/jsgoe.31.227 · W2404590099
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

Laparoscopic enucleation of uterine cystic adenomyosis in a 29-year-old woman significantly reduced her severe dysmenorrhea after hormone therapy proved only temporarily effective.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This case report studied a 29-year-old woman with uterine cystic adenomyosis presenting with severe lower abdominal pain and severe dysmenorrhea. Using MRI findings suggestive of an ovarian endometrial cyst, along with hysterosalpingography showing a normal uterine cavity and patent fallopian tubes, the authors diagnosed cystic adenomyosis and initially treated her with a GnRH agonist, which improved symptoms. Symptoms recurred after discontinuation of hormone therapy, so laparoscopic enucleation of the cystic lesion was performed and dysmenorrhea decreased significantly. As a case report, the main limitation is that it does not provide generalizable comparative evidence. This paper is centrally about adenomyosis — specifically uterine cystic adenomyosis treated with laparoscopic enucleation after recurrence following GnRH agonist therapy.

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Abstract

Uterine cystic adenomyosis is a relatively common disease in young women. Patients with cystic adenomyosis have severe dysmenorrhea and surgical treatment is required in most cases. A 29-year-old woman was admitted to our hospital with severe lower abdominal pain. Magnetic resonance imaging revealed features suggestive of an ovarian endometrial cyst. Hysterosalpingography revealed a normal uterine cavity and patent fallopian tubes. The patient was diagnosed with cystic adenomyosis. She was treated initially using hormone therapy with a gonadotropin releasing hormone (GnRH) agonist. This was effective; however, the symptoms recurred when the treatment was discontinued. Therefore, laparoscopic enucleation of the cystic lesion was performed, resulting in a statistically significant reduction in dysmenorrhea.
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症例報告 腹腔鏡下腫瘍切除術を施行した嚢胞性子宮腺筋症の一例 2015 年 31 巻 1 号 p. 227-231 詳細 抄録 Uterine cystic adenomyosis is a relatively common disease in young women. Patients with cystic adenomyosis have severe dysmenorrhea and surgical treatment is required in most cases. A 29-year-old woman was admitted to our hospital with severe lower abdominal pain. Magnetic resonance imaging revealed features suggestive of an ovarian endometrial cyst. Hysterosalpingography revealed a normal uterine cavity and patent fallopian tubes. The patient was diagnosed with cystic adenomyosis. She was treated initially using hormone therapy with a gonadotropin releasing hormone (GnRH) agonist. This was effective; however, the symptoms recurred when the treatment was discontinued. Therefore, laparoscopic enucleation of the cystic lesion was performed, resulting in a statistically significant reduction in dysmenorrhea. © 2015 日本産科婦人科内視鏡学会

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adenomyosisdysmenorrhea

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