Laparoscopic treatment of a large uterine cystic adenomyosis in a young patient
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This case report details the successful laparoscopic excision of a large, symptomatic cystic adenomyotic lesion from the uterine fundus of a young patient.
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Abstract
We describe a rare case of a young woman with a large cystic adenomyotic lesion that was treated laparoscopically. The patient presented with severe dysmenorrhoea refractory to common analgaesics. She was initially diagnosed with right-sided ovarian endometrioma. MRI revealed a cystic lesion of 4 cm attached to the right uterine wall. Under laparoscopic vision, the uterine lesion was identified on the right portion of the uterine fundus close to the round ligament. Monopolar diathermy was used to dissect the lesion. When the incision reached the cystic cavity, dark-brown content flowed from the cyst. After resection was complete, the surgical wound was closed with two-layer interrupted sutures. The patient made a good recovery and was discharged the following day. Since patients with cystic adenomyosis are young, a minimally invasive procedure such as laparoscopic excision is considered optimal. The exact topography of the lesion is crucial in determining the site of the incision.
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References (7)
- Juvenile Cystic Adenomyoma in a 19-Year-Old Woman: A Case Report with a Proposal for New Diagnostic Criteria via openalex
- Laparoscopic Management of Juvenile Cystic Adenomyoma: Four Cases via openalex
- Transvaginal ultrasound or MRI for diagnosis of adenomyosis via openalex
- W1998696184 via openalex
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- W2132970488 via openalex
Cited by (16)
- A rare clinical case of endoscopic treatment of a patient with cystic adenomyosis 2025
- Cystic Adenomyoma in Pregnancy: A Case Report 2024
- Modern approaches to classification of adenomyosis 2023
- High Intensity Focused Ultrasound Ablation for Juvenile Cystic Adenomyosis: Two Case Reports and Literature Review 2023
- Cystic adenomyoma surgery 2022
- Ultrasound-Guided Transvaginal Aspiration and Sclerotherapy for Uterine Cystic Adenomyosis: Case Report and Literature Review 2022
- Secondary cystic adenomyosis in a young woman: a case report 2022
- A Case of Severe Adenomyosis in a Young Adolescent 2021
- Pelvic Pain and Adnexal Mass: Be Aware of Accessory and Cavitated Uterine Mass 2021
- Adenomyosis in Adolescence 2020
- A New Surgical Method of U-Shaped Myometrial Excavation and Modified Suture Approach with Uterus Preservation for Diffuse Adenomyosis 2018
- Cystic Adenomyosis: Place of Hysteroscopic Approach 2017
- From Clinical Symptoms to MR Imaging: Diagnostic Steps in Adenomyosis 2017
- Hysteroscopic Treatment of a Uterine Cystic Adenomyosis 2017
- Ultrasound-guided drainage and sclerosis of a cystic myometrial mass 2016
- Huge Adenomyotic Cyst in Pregnancy 2016
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- europepmc
- last seen: 2026-09-05T06:14:40.014199+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:17:39.907309+00:00
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