A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video

Masafumi Katakura, Yukiko Katagiri, Kuniaki Ota, Takafumi Mukai, Kentaro Nakaoka, Toshimitsu Maemura, Mineto Morita
In: Endocrines · 2021 · vol. 2(3) , pp. 284–292 · doi:10.3390/endocrines2030026 · W3195052935
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This report details a successful laparoscopic excision of juvenile cystic adenomyosis in a young woman, followed by uterine reconstruction, which resolved her dysmenorrhea.

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Abstract

Background: Juvenile cystic adenomyosis (JCA) is a rare uterine lesion. We present the case of a young woman who was diagnosed with JCA and subsequently managed with laparoscopic cyst removal with sharp and blunt dissection. Moreover, we provide a literature review and a surgical video. Case: A 22-year-old nulliparous woman presented with severe dysmenorrhea and was assessed using contrast-enhanced abdominal computed tomography, transvaginal ultrasonography and pelvic magnetic resonance imaging, and diagnosed with a cystic lesion on the left side of the myometrium. She underwent laparoscopic cyst excision and uterine reconstruction. Histology was suggestive of JCA. The dysmenorrhea resolved postoperatively. Conclusion: Surgical resection is the first choice of treatment for cystic adenomyosis, and a laparoscopic approach using scissor forceps is effective.

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adenomyosisdysmenorrhea

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