Juvenile cystic adenomyosis mimicking uterine malformation: a case report

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A juvenile patient with severe dysmenorrhea was diagnosed with cystic adenomyosis mimicking uterine malformation, which was successfully treated with surgical excision of the cystic mass.

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This paper is a case report describing juvenile cystic adenomyosis in a patient who presented with severe dysmenorrhea that was refractory to medication. The patient was initially diagnosed using imaging as having a bicornuate uterus with an obstructed rudimentary horn, but surgical exploration identified and excised a cystic mass, after which the symptoms were relieved. The report highlights the diagnostic challenge posed by cystic adenomyosis that can mimic uterine malformations, with the key limitation being that the evidence is based on a single case. This paper is centrally about endometriosis and/or adenomyosis—cystic adenomyosis in a juvenile patient and how it mimicked a uterine malformation.

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Abstract

Cystic adenomyosis is a rare form of adenomyosis mostly seen in middle aged women. We report a case of cystic adenomyosis in a juvenile patient presenting with severe dysmenorrhea refractory to any given medication. The patient initially was diagnosed as uterus bicornis with an obstructed rudimentary horn. Surgical exploration and excision of the cystic mass relieved the symptoms of the patient.
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Abstract

Cystic adenomyosis is a rare form of adenomyosis mostly seen in middle aged women. We report a case of cystic adenomyosis in a juvenile patient presenting with severe dysmenorrhea refractory to any given medication. The patient initially was diagnosed as uterus bicornis with an obstructed rudimentary horn. Surgical exploration and excision of the cystic mass relieved the symptoms of the patient. Similar content being viewed by others

References

Takeda A, Sakai K, Mitsui T et al (2007) Laparoscopic management of juvenile cystic adenomyoma of the uterus: report of two cases and review of the literature. J Minim Invasive Gynecol 14:370–374 Yamashiro T, Gibo M, Utsunomiya T et al (2007) Huge uterine leomyoma with adenomyotic cysts mimicking uterine sarcoma on MRI. Radiat Med 25:127–129 Slezak P, Tillinger KG (1976) The incidence and clinical importance of hysterographic evidence of cavities in the uterine wall. Radiology 118:581–586 Kataoka ML, Togashi K, Konishi I, Hatabu H, Morikawa K, Kojima N, Kuroda H, Fujimoto R, Kataoka N, Konishi J (1998) MRI of adenomyotic cyst of the uterus. J Comput Assist Tomogr 22:555–559 Imaoka I, Kaji Y, Kobashi Y, Wada A, Honjo G, Hayashi M, Yoshida M, Matsuo M (2005) Cystic adenomyosis with florid glandular differentiation mimicking ovarian malignancy. Br J Radiol 78:558–561 Koga K, Osuga Y, Hiroi H, Oishi H, Kugu K, Yano T, Taketani Y (2006) Images in reproductive medicine. A case of giant cystic adenomyosis. Fertil Steril 85:748–749 Kamio M, Taguchi S, Oki T, Tsuji T, Iwamoto I, Yoshinaga M, Douchi T (2007) Isolated adenomyotic cyst associated with severe dysmenorrhea. J Obstet Gynaecol Res 33:388–391 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Dogan, E., Gode, F., Saatli, B. et al. Juvenile cystic adenomyosis mimicking uterine malformation: a case report. Arch Gynecol Obstet 278, 593–595 (2008). https://doi.org/10.1007/s00404-008-0618-3 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-008-0618-3

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Condition tags

endometriosisadenomyosisdysmenorrhea

MeSH descriptors

Cysts Endometriosis Uterine Diseases Cysts Cysts Diagnosis, Differential Endometriosis Endometriosis Female Histocytochemistry Humans Laparotomy Magnetic Resonance Imaging Uterine Diseases Uterine Diseases Uterus Uterus Young Adult

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last seen: 2026-08-06T06:07:45.168820+00:00
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