Identification of Juvenile Cystic Adenomyoma Using High-Resolution Imaging

Annemieke Wilcox, Megan Schmidt, Danielle Luciano, D. Luciano
Obstetrics & Gynecology · 2020 · vol. 136(5) , pp. 1021–1024 · doi:10.1097/aog.0000000000004121 · PMID:33030875 · W3091969595
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Two adolescent patients with refractory dysmenorrhea were diagnosed with juvenile cystic adenomyoma via high-resolution three-dimensional ultrasonography after initial misdiagnosis.

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Abstract

BACKGROUND: Juvenile cystic adenomyoma is a rare condition that is often misdiagnosed as a noncommunicating uterine horn or adnexal mass during adolescence. CASES: We describe two patients who presented with dysmenorrhea unresponsive to standard management with oral contraceptives. Both patients were initially misdiagnosed as having endometriotic cysts. Juvenile cystic adenomyoma was suspected on standard pelvic ultrasound scan and subsequent high-resolution three-dimensional ultrasonography. The diagnosis was subsequently confirmed and the lesions successfully treated laparoscopically. CONCLUSION: Gynecologists should be aware of the possibility of juvenile cystic adenomyoma in adolescents with dysmenorrhea refractory to medical management. Three-dimensional ultrasonography may provide the resolution necessary to distinguish this rare condition.

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Condition tags

dysmenorrhea

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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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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