A Case of Cystic Degeneration of Uterine Adenomyosis
A 30-year-old woman with severe dysmenorrhea and menorrhagia was initially diagnosed with pelvic endometriosis but incidentally presented with cystic degeneration of an adenomyoma following surgery.
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This case report describes a 30-year-old parous woman who presented with severe dysmenorrhea and menorrhagia, initially leading to surgical intervention under the clinical impression of pelvic endometriosis. Post-operative examination revealed an incidental finding of cystic degeneration within a localized adenomyoma, a rare manifestation of uterine adenomyosis. The authors present this unique clinical presentation alongside a review of pertinent literature to highlight the diagnostic challenges associated with such atypical adenomyotic lesions. This paper is centrally about adenomyosis — specifically the rare occurrence of cystic degeneration within an adenomyoma that was initially misdiagnosed as endometriosis.
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