Multiple myometrial cysts micmicking multiple fibroid uterus

B Ramesh, Rachana Ghanti, Veena Devadiga
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2017 · vol. 6(6) , pp. 2651 · doi:10.18203/2320-1770.ijrcog20172374 · W2620456667
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a 31-year-old woman with severe dysmenorrhea and back pain found to have multiple myometrial adenomyotic cysts mimicking fibroids.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-14 · read from full text ⓘ

The paper reports a case of a 31-year-old nulligravida woman with 8 months of severe dysmenorrhea and back pain in whom transvaginal ultrasound showed a retroverted uterus with diffuse adenomyosis and intramyometrial endometriotic cysts in both cornual areas and multiple small cysts in both adnexa. Laparoscopy found large cystic masses near the uterine cornua and anterior uterine wall, which were excised, with histopathology diagnosing adenomyotic cysts. The main limitation is that the evidence is based on a single clinical case, so generalizability is limited. This paper is centrally about adenomyosis—specifically adenomyotic (intramyometrial/endometriotic) cysts that can mimic a multiple fibroid uterus and present with dysmenorrhea.

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Abstract

Adenomyosis is the presence of endometrial glands and stroma in the context of the myometrium, with adjacent smooth muscle hyperplasia. It may be diffuse or cystic. Adenomyotic cysts of the uterus are extremely rare. A 31 years old nulligravida woman presented to our OPD with complaints of severe dysmenorrhea and back pain since 8 months. Transvaginal ultrasound revealed retroverted uterus with diffuse adenomyosis with intramyometrial endometriotic cysts in both cornual areas, both adnexa showing multiple small endometriotic cysts. On Laparoscopy – cystic masses around 5x4cm was found near the cornua and anterior uterine wall, which were excised and diagnosed as adenomyotic cyst on histopathology.
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Multiple myometrial cysts micmicking multiple fibroid uterus DOI: https://doi.org/10.18203/2320-1770.ijrcog20172374Keywords: Adenomyosis, Adenomyotic cyst, Dysmenorrhea, ExcisionAbstract Adenomyosis is the presence of endometrial glands and stroma in the context of the myometrium, with adjacent smooth muscle hyperplasia. It may be diffuse or cystic. Adenomyotic cysts of the uterus are extremely rare. A 31 years old nulligravida woman presented to our OPD with complaints of severe dysmenorrhea and back pain since 8 months. Transvaginal ultrasound revealed retroverted uterus with diffuse adenomyosis with intramyometrial endometriotic cysts in both cornual areas, both adnexa showing multiple small endometriotic cysts. On Laparoscopy – cystic masses around 5x4cm was found near the cornua and anterior uterine wall, which were excised and diagnosed as adenomyotic cyst on histopathology. Metrics References Muzii L, Marana R, Angioli R, Bianchi A, Cucinella G, Vignali M et al. Histologic analysis of specimens from laparoscopic endometrioma excision performed by different surgeons: does the surgeon matter? Fertil Steril. 2011;95:2116-9. Kim NR, Cho HY, Ha SY. Intramyometrial uterine cysts with special reference to ultra structural findings: report of two cases. J Obstet Gynaecol Res. 2011;37:259-63. Takeuchi H, Kitade M, Kikuchi I, Kumakiri J, Kuroda K, Jinushi M. Diagnosis laparoscopic management and histopathological findings of juvenile cystic adenomyoma: a review of nine cases. Fertil Steril. 2010;94:862-68. English DP, Verma U, Pearson JM. Uterine cyst as a cause of chronic pelvic pain: a case report. J Reprod Med. 2012;57:446-8. Kriplani A, Mahey R, Agarwal N, Bhatla N, Yadav R, Singh MK. Laparoscopic management of juvenile cystic adenomyoma: four cases. J Minim Invasive Gynecol. 2011;18:343-8.

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adenomyosisdysmenorrhea

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