Identification of Juvenile Cystic Adenomyoma Using High-Resolution Imaging
Case report
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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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References (15)
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Cited by (4)
- High Intensity Focused Ultrasound Ablation for Juvenile Cystic Adenomyosis: Two Case Reports and Literature Review 2023
- Accessory and cavitated uterine mass versus juvenile cystic adenomyoma 2021
- Juvenile cystic adenomyoma, a rare diagnostic challenge: Case Reports and literature review 2021
- A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video 2021
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- crossref
- last seen: 2026-05-18T01:00:38.625488+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:28:48.188428+00:00
- unpaywall
- last seen: 2026-10-16T06:24:35.758740+00:00
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