Accessory cavitated uterine mass presenting as refractory dysmenorrhoea: a diagnostic challenge
case-report
OA: closed
public-domain-us
AI-generated summary
Laparoscopic excision of an accessory cavitated uterine mass resolved severe dysmenorrhoea in a young woman with minimal pelvic endometriosis, confirming the lesion as the primary cause of her refractory pain.
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Abstract
A woman in her 20s presented with severe progressive dysmenorrhoea that began within 1-2 years of menarche, was refractory to medical therapy and required repeated emergency department visits for parenteral analgesia. Ultrasonography suggested a uterine leiomyoma, whereas MRI demonstrated a unilateral haemorrhagic cavitated intramyometrial lesion without communication with the endometrial cavity, raising suspicion for a non-communicating Müllerian anomaly. Diagnostic laparoscopy revealed a small cavitated intramyometrial mass beneath the right round ligament with minimal pelvic endometriosis. Complete laparoscopic excision was performed while preserving the endometrial cavity. Histopathological examination confirmed an accessory cavitated uterine mass. The patient experienced complete resolution of dysmenorrhoea and remained asymptomatic at 6-month follow-up.
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Cites (2)
References (9)
- Accessory cavitated uterine malformation (ACUM): A scoping review via openalex
- Successful laparoscopic management of accessory cavitated uterine malformation misdiagnosed as non-communicating rudimentary horn in an unmarried woman via openalex
- W3047954161 via openalex
- W3209535337 via openalex
- W4385902332 via openalex
- W4412724174 via openalex
- W2141418885 via openalex
- W4413800651 via openalex
- W2334485457 via openalex
Source provenance
- europepmc
- last seen: 2026-10-07T06:10:45.703000+00:00
- openalex
- last seen: 2026-10-07T06:01:52.021920+00:00
- pubmed
- last seen: 2026-10-07T06:03:26.922336+00:00
- unpaywall
- last seen: 2026-10-07T06:26:57.292555+00:00
License: public-domain-us
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Courtesy of the U.S. National Library of Medicine
Courtesy of the U.S. National Library of Medicine