Multiple myometrial cysts micmicking multiple fibroid uterus
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20172374Keywords:
Adenomyosis, Adenomyotic cyst, Dysmenorrhea, ExcisionAbstract
Adenomyosis is the presence of endometrial glands and stroma in the context of the myometrium, with adjacent smooth muscle hyperplasia. It may be diffuse or cystic. Adenomyotic cysts of the uterus are extremely rare. A 31 years old nulligravida woman presented to our OPD with complaints of severe dysmenorrhea and back pain since 8 months. Transvaginal ultrasound revealed retroverted uterus with diffuse adenomyosis with intramyometrial endometriotic cysts in both cornual areas, both adnexa showing multiple small endometriotic cysts. On Laparoscopy – cystic masses around 5x4cm was found near the cornua and anterior uterine wall, which were excised and diagnosed as adenomyotic cyst on histopathology.
References
Muzii L, Marana R, Angioli R, Bianchi A, Cucinella G, Vignali M et al. Histologic analysis of specimens from laparoscopic endometrioma excision performed by different surgeons: does the surgeon matter? Fertil Steril. 2011;95:2116-9.
Kim NR, Cho HY, Ha SY. Intramyometrial uterine cysts with special reference to ultra structural findings: report of two cases. J Obstet Gynaecol Res. 2011;37:259-63.
Takeuchi H, Kitade M, Kikuchi I, Kumakiri J, Kuroda K, Jinushi M. Diagnosis laparoscopic management and histopathological findings of juvenile cystic adenomyoma: a review of nine cases. Fertil Steril. 2010;94:862-68.
English DP, Verma U, Pearson JM. Uterine cyst as a cause of chronic pelvic pain: a case report. J Reprod Med. 2012;57:446-8.
Kriplani A, Mahey R, Agarwal N, Bhatla N, Yadav R, Singh MK. Laparoscopic management of juvenile cystic adenomyoma: four cases. J Minim Invasive Gynecol. 2011;18:343-8.