Laparoscopic treatment of a large uterine cystic adenomyosis in a young patient

Case report OA: hybrid CC0 ⤵ 16 in-corpus citations
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

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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Condition tags

dysmenorrheachronic_pelvic_painadenomyosisendometrioma

MeSH descriptors

Adenomyosis Adenomyosis Cysts Cysts Uterine Diseases Uterine Diseases Adenomyosis Adenomyosis Adenomyosis Adult Adult Cysts Cysts Cysts Diagnosis, Differential Diagnosis, Differential Dysmenorrhea Dysmenorrhea Dysmenorrhea Female

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (7)

Cited by (16)

Source provenance

europepmc
last seen: 2026-10-13T06:10:10.580696+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:16:31.290043+00:00
License: CC0 · commercial use OK