Isolated adenomyotic cyst associated with severe dysmenorrhea.
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.
Kamio
Masaki
M
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
Taguchi
Shuuhei
S
Oki
Toshimichi
T
Tsuji
Takahiro
T
Iwamoto
Ichiro
I
Yoshinaga
Mitsuhiro
M
Douchi
Tsutomu
T
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