title: Isolated adenomyotic cyst associated with severe dysmenorrhea.
abstract: A case of a 23-year-old, nulliparous female with a very rare isolated adenomyotic cyst inducing severe dysmenorrhea was seen. Transvaginal ultrasonographic tomography and magnetic resonance imaging (MRI) showed a 3 x 3-cm cystic mass within the left anterior wall of the uterine corpus. The cystic space was filled with hyperintense fluid on T1-weighted images, which was surrounded by hypointense tissue beside the right uterine corpus on T2-weighted images. The case was preliminarily diagnosed using MRI as having cavitated rudimentary uterine horn. However, hysterosalpingography excluded the possibility of uterine anomaly. A hemorrhagic adenomyotic cyst measuring 3 cm within the left anterior wall of the uterine corpus was surgically removed. There was no evidence of diffuse adenomyosis uteri. Dysmenorrhea completely disappeared postoperatively.
authors.affiliation: Department of Reproductive Pathophysiology and Obstet-Gynecology, Field of Developmental Medicine, Kagoshima Uinversity Graduate School of Medical and Dental Sciences, Kagoshima, Japan. mkamio@m2.kufm.kagoshima-u.ac.jp
authors.forename: Masaki
authors.initials: M
authors.lastname: Kamio
authors.forename: Shuuhei
authors.initials: S
authors.lastname: Taguchi
authors.forename: Toshimichi
authors.initials: T
authors.lastname: Oki
authors.forename: Takahiro
authors.initials: T
authors.lastname: Tsuji
authors.forename: Ichiro
authors.initials: I
authors.lastname: Iwamoto
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Yoshinaga
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Douchi
mesh_terms: D018194:Adenomyoma / Q000150:complications* / Q000473:pathology; D000328:Adult; D003560:Cysts / Q000150:complications* / Q000473:pathology; D004412:Dysmenorrhea / Q000209:etiology*; D005260:Female; D006801:Humans; D009215:Myometrium / Q000473:pathology*; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology