Imaging features of accessory cavitated uterine mass (ACUM): a peculiar yet correctable cause of dysmenorrhea
This paper describes accessory cavitated uterine mass (ACUM), a rare developmental anomaly causing dysmenorrhea, and highlights USG and MRI's role in diagnosing this surgically correctable condition.
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This paper describes accessory cavitated uterine mass (ACUM), a rare mullerian developmental anomaly in young females that presents with chronic pelvic pain, dysmenorrhea, and infertility. Using high-level imaging discussion focused on ultrasound (USG) and MRI, it highlights that ACUM is a non-communicating accessory cavity within an otherwise normal uterus that is lined by functional endometrium and surrounded by myometrium-like smooth muscle, producing a uterus-like appearance. The authors emphasize that recognition of characteristic imaging features can help diagnose an often underrecognized but surgically correctable cause of dysmenorrhea, and the paper notes no additional explicit limitation in the provided text. Relevance to endometriosis: although this paper is not about endometriosis itself, it includes a closely related pelvic-pain differential involving gynecologic structural causes, and it specifically centers dysmenorrhea from an anatomic uterine anomaly rather than endometriosis—yet it is still pertinent to the broader endometriosis research corpus via keyword match and clinical overlap in pain presentation.
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References (7)
- Accessory cavitated uterine mass: MRI features and surgical correlations of a rare but under-recognised entity via openalex
- Diagnosis and laparoscopic excision of accessory cavitated uterine mass in young women: Two case reports via openalex
- Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly via openalex
- W4200516380 via openalex
- W3004643285 via openalex
- W2132970488 via openalex
- W2068539674 via openalex
Cited by (5)
- Müllerian Anomalies: Revisited 2025
- Round Ligament of the Uterus: Radiological and Surgical Perspective 2025
- Accessory cavitated uterine malformation (ACUM): A scoping review 2024
- Accessory cavitated uterine mass (ACUM) as a miniature uterine anomaly causing severe lateralized dysmenorrhea: case series 2023
- EP26.06: The accessory cavitated uterine malformation: a scoping review 2023
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- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-18T00:34:00.159478+00:00