Uterine cyst as a cause of chronic pelvic pain: a case report
Case report
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⤵ 9 in-corpus citations
AI-generated summary
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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Cited by (9)
- Ultrasound-Guided Transvaginal Aspiration and Sclerotherapy for Uterine Cystic Adenomyosis: Case Report and Literature Review 2022
- Role of Gross picture and ultrasound in Uterine Adenomyosis: case series with review of literature 2020
- Subserosal adenomyotic cysts and peritoneal inclusion cysts - Unusual differential diagnoses of multicystic pelvic masses: A review of two cases 2020
- Multiple myometrial cysts micmicking multiple fibroid uterus 2017
- Adenomyotic cyst of the uterus associated with pelvic pain: A case report 2014
- Uterine Cystic Adenomyosis: A Disease of Younger Women 2014
- Hysteroscopic diagnosis and excision of myometrial cystic adenomyosis 2014
- Adenomyotic cyst of the uterus associated with pelvic pain: A case report 2014
- A case of cystic adenomyosis presenting as uterine malignancy on gross appearance 2013
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- europepmc
- last seen: 2026-10-16T06:09:50.462052+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:11:01.534134+00:00
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