Accessory Cavitated Uterine Mass Masquerading as Endometriotic Cyst, in a Multiparous Woman with Refractory Dysmenorrhea

In: The Journal of Obstetrics and Gynecology of India · 2022 · vol. 72(S2) , pp. 452–454 · doi:10.1007/s13224-022-01668-1 · PMID:36457449 · W4293379605
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AI-generated summary by claude@2026-06+body, 2026-06-10

This case report describes an accessory cavitated uterine mass mimicking an endometriotic cyst in a multiparous woman experiencing refractory dysmenorrhea.

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This paper reports a clinical case of a multiparous woman with refractory dysmenorrhea in whom an accessory cavitated uterine mass was initially mistaken for an endometriotic cyst. The authors describe the presentation and emphasize the diagnostic process, including 2D/3D imaging confirmation provided by a radiology consultant, leading to the correct identification of the uterine anomaly. A key limitation is that this is a single case report without systematic evaluation of diagnostic accuracy across patients. Relevance to endometriosis: the mass “masqueraded as endometriotic cyst” in a patient with dysmenorrhea, though the paper’s main focus is the diagnosis of an accessory cavitated uterine mass rather than endometriosis biology or treatment of endometriosis.

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References

Acie’n P, Bataller A, Ferna’ndez F, et al. New cases of accessory and cavitated uterine masses (ACUM): a significant cause of severe dysmenorrhea and recurrent pelvic pain in young women. Hum Reprod. 2012;27(3):683–94. Supermaniam S, Thye WL. Diagnosis and laparoscopic excision of accessory cavitated uterine mass in young women: two case reports. Case Rep Women’s Health. 2020;26:00187. Acie’n P, Acie’n M, Ferna’ndez F, et al. The cavitated accessory uterine mass. Obstet Gynecol. 2010;116:1101–9. Iranpour P, Haseli S, Keshavarz P, et al. Pelvic pain and adnexal mass: be aware of accessory and cavitated uterine mass. Case Rep Med. 2021;11:2021. https://doi.org/10.1155/2021/6649663. Azuma Y, Taniguchi F, Wibisono H, et al. A case report of an accessory and cavitated uterine mass treated with total laparoscopic hysterectomy. Yonago Acta Med. 2021;64(2):207–9. Shah MV, Pisat S, Jain M, et al. Role of 3D coronal ultrasound in diagnosis of accessory and cavitated uterine mass: a rare mullerian anomaly. J Obstet Gynecol India. 2021;71:633–6.

Acknowledgements

We wish to acknowledge Dr Ladbans Kaur, Consultant Radiology, Prime Imaging and Diagnostics, Sector 24D, Chandigarh for providing the 2D/3D confirmation of the diagnosis. Funding The authors did not receive any funding for this study. Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of Interest Japleen Kaur, Shikha Rani, Ravneet Kaur Gill, Sushmita Sharma, Nisha Bhagat declare that they have no conflict of interest. Ethical Approval Not applicable as patient was managed according to standard treatment and no experimental intervention was done. Informed Consent Written Informed consent was taken from the patient. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Japleen Kaur (MD), (DNB) is an Assistant Professor, Department of Obstetrics and Gynecology, Dr BR Ambedkar State Institute of Medical Sciences, SAS Nagar (AIMS, Mohali), Punjab, India; Shikha Rani (MD) is an Associate Professor, Department of Obstetrics and Gynecology, Dr BR Ambedkar State Institute of Medical Sciences, SAS Nagar (AIMS, Mohali), Punjab, India; Ravneet Kaur Gill (MD) is an Assistant Professor, Department of Anesthesia, Dr BR Ambedkar State Institute of Medical Sciences, SAS Nagar (AIMS, Mohali), Punjab, India; Nisha Bhagat (MD) is an Assistant Professor, Department of Obstetrics and Gynecology, Dr BR Ambedkar State Institute of Medical Sciences, SAS Nagar (AIMS, Mohali), Punjab, India; Sushmita Sharma (MD) is a Professor, Department of Obstetrics and Gynecology, Dr BR Ambedkar State Institute of Medical Sciences, SAS Nagar (AIMS, Mohali), Punjab, India. Supplementary Information Below is the link to the electronic supplementary material. Supplementary file1 (MP4 192147 kb) Rights and permissions About this article Cite this article Kaur, J., Rani, S., Gill, R.K. et al. Accessory Cavitated Uterine Mass Masquerading as Endometriotic Cyst, in a Multiparous Woman with Refractory Dysmenorrhea. J Obstet Gynecol India 72 (Suppl 2), 452–454 (2022). https://doi.org/10.1007/s13224-022-01668-1 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s13224-022-01668-1

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dysmenorrhea

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