Radiofrequency ablation for cystic adenomyosis: a case report.
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.


METHODS
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.


CONCLUSIONS
This was the first case of cystic adenomyosis treated with radiofrequency ablation.
Ryo
Eiji
E
Department of Obstetrics and Gynecology, Teikyo University, School of Medicine, Kaga, Itabashi-ku, Tokyo, Japan. yonchi@med.teikyo-u.ac.jp
Takeshita
Shigeki
S
Shiba
Masahiro
M
Ayabe
Takuya
T
D000328:Adult; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods*; D003560:Cysts / Q000473:pathology / Q000628:therapy; D004412:Dysmenorrhea / Q000209:etiology; D004715:Endometriosis / Q000473:pathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging