A bicornuate uterus with a unilateral cornual adenomyosis.
BACKGROUND
Few reports have described adenomyosis in association with congenital uterine abnormalities. The authors present a case involving unilateral adenomyosis in a bicornuate uterus.


METHODS
A 41-year-old married gravida 1, para 1, first became aware that she had a double uterus 14 years earlier at her first prenatal examination when the gestation was identified in the left uterine cavity because of intractable dysmenorrhea. The patient underwent laparoscopically assisted vaginal hysterectomy. Pathological examination confirmed that adenomyosis had affected only the left uterine myometrium.


CONCLUSIONS
The right uterine cornua of a bicornuate uterus served as the control after a pregnancy in the left cornua. The subsequent development of adenomyosis in the left cornua lends weight to theories that suggest pregnancy or other acquired factors may be involved in the pathogenesis and development of adenomyosis.
Su
Her-Young
HY
Departments of Obstetric and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Chen
Chi-Huang
CH
Gao
Hong-Wei
HW
Liu
Jah-Yao
JY
D018194:Adenomyoma / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D001707:Biopsy, Needle; D000013:Congenital Abnormalities / Q000175:diagnosis* / Q000601:surgery; D004412:Dysmenorrhea / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D015907:Hysteroscopy / Q000379:methods; D007150:Immunohistochemistry; D018570:Risk Assessment; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014599:Uterus / Q000002:abnormalities*