ACCESSORY AND CAVITATED UTERINE MASS—A NEWER ENTITY CAUSING PELVIC PAIN

The main causes of secondary dysmenorrhoea are uterine and vaginal anomalies, menstrual outflow obstruction, endometriosis, adenomyosis and uterine myoma. This study reports a rare case of accessory and cavitated uterine mass (ACUM ), a rare mullerian anomaly, related to dysfunction of gubernaculum which is a new but significant entity causing severe dysmenorrhoea and chronic pelvic pain. ACUM was diagnosed in a multiparous female who was being treated on the lines of endometriosis without relief in symptoms. Keywords: Dysmenorrhoea; Mullerian anomaly; Chronic pelvic pain