Radiofrequency ablation for cystic adenomyosis: a case report.

The Journal of reproductive medicine · 2006 · vol. 51(5) , pp. 427–30 · PMID:16779992 · W1802329862
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Radiofrequency ablation through the cervix successfully treated cystic adenomyosis in a 21-year-old woman, reducing the cystic lesion and dysmenorrhea without complications.

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Abstract

BACKGROUND: Cystic adenomyosis is an uncommon feature of adenomyosis, and women with the disease usually undergo laparotomy. We treated a case of cystic adenomyosis with radiofrequency ablation. CASE: A 21-year-old woman had severe dysmenorrhea supposedly caused by cystic adenomyosis. Under general anesthesia and ultrasound guidance, a radiofrequency needle was inserted into the cyst through the cervix, and the cyst was ablated. The procedures took about 15 minutes, with no complications. Lower abdominal pain and a high fever occurred 3 days later but disappeared soon after necrotic tissue was discharged. The cystic lesion disappeared, and the severity of the dysmenorrhea decreased by one-third as compared with that before the ablation. CONCLUSION: This was the first case of cystic adenomyosis treated with radiofrequency ablation.

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Condition tags

dysmenorrheaendometriosisadenomyosis

MeSH descriptors

Catheter Ablation Endometriosis Adult Catheter Ablation Catheter Ablation Cysts Cysts Cysts Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging

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.

Cited by (19)

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