Uterine cyst as a cause of chronic pelvic pain: a case report.

English DP, Diana P. English, Usha Verma, Verma U, J. M. H. Pearson, J Matt Pearson, Pearson JM
The Journal of reproductive medicine · 2012 · vol. 57(9-10) , pp. 446–8 · PMID:23091995 · W118616228
article OA: closed CC0 ⤵ 9 in-corpus citations
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A 31-year-old female with chronic pelvic pain found relief from a large uterine adenomyotic cyst following transvaginal aspiration, highlighting the importance of imaging for diagnosis.

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Abstract

BACKGROUND: Cystic adenomyosis is a rare form of adenomyosis. Presently, these cysts are generally considered to be of a benign nature and result from cyclical response to menstrual dynamics. CASE: A 31-year-old, African-American female presented for a second opinion with a chief complaint of pelvic pain. She had recently undergone an exploratory laparoscopy with findings suggestive of endometriosis. She was never pregnant and had been taking oral contraceptive pills for over 3 months with little relief This patient had no history of uterine surgery. Pelvic ultrasound performed after her surgery revealed a cystic structure, homogeneously echogenic in the anterior corpus of the uterus, measuring 2.7 x 2.4 x 3.5 cm. This structure appeared consistent with an adenomyotic cyst. The patient's symptoms improved after the transvaginal aspiration, and she no longer required narcotics. CONCLUSION: Of all the possibilities considered, this cyst most closely resembled an adenomyotic cyst in its clinical presentation, location within the myometrium and gross appearance of the chocolate cyst fluid. Imaging is key in distinguishing this process from other congenital and acquired gynecologic entities. Awareness of this condition is important for timely and accurate diagnosis followed by appropriate intervention.

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Condition tags

chronic_pelvic_painendometriosisadenomyosis

MeSH descriptors

Adenomyosis Chronic Pain Cysts Pelvic Pain Uterine Diseases Adenomyosis Adenomyosis Adult Chronic Pain Cysts Cysts Female Humans Pelvic Pain Uterine Diseases Uterine Diseases

Citation neighborhood

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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