title: Rare case of giant cystic adenomyoma mimicking a uterine malformation, diagnosed and treated by hysteroscopy.
abstract: We describe a case of giant cystic uterine adenomyoma that was diagnosed and treated by hysteroscopy. In a 27-year-old woman with menometrorrhagia, severe dysmenorrhea, and chronic pelvic pain, pelvic ultrasonography revealed an enlarged uterine cavity filled with homogeneous low echogenic fluid content. A large cornual hematometra of 8.0 cm in diameter in a bicornuate uterus was suspected, and this hypothesis was also supported by magnetic resonance imaging findings. On the contrary, hysteroscopy revealed a bilocular huge cystic lesion of the posterior uterine wall that was removed by means of monopolar loop resection. The operative finding and the histopathologic examination confirmed the diagnosis of cystic adenomyoma of the uterus. Hysteroscopy may represent a valid tool for diagnosis and minimally invasive treatment of cystic adenomyoma, including those of large volume. Its use is helpful in differential diagnosis between cystic adenomyoma and uterine malformations as a possible cause of pelvic pain.
authors.affiliation: Department of Obstetrics and Gynaecology, Sacro Cuore Hospital, Negrar.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Pontrelli
authors.affiliation: Department of Obstetrics and Gynaecology, Umberto I Hospital, University of Turin, Turin.
authors.forename: Valentina Elisabetta
authors.initials: VE
authors.lastname: Bounous
authors.affiliation: Department of Obstetrics and Gynaecology, Sacro Cuore Hospital, Negrar.
authors.forename: Stefano
authors.initials: S
authors.lastname: Scarperi
authors.affiliation: Department of Obstetrics and Gynaecology, Sacro Cuore Hospital, Negrar.
authors.forename: Luca
authors.initials: L
authors.lastname: Minelli
authors.affiliation: Department of Obstetrics and Gynaecology, University Federico II of Naples, Naples and.
authors.forename: Attilio
authors.initials: A
authors.lastname: Di Spiezio Sardo
authors.affiliation: Complex Operative Unit of Obstetrics and Gynaecology, S. Iacopo Hospital, Pistoia, Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Florio
mesh_terms: D018194:Adenomyoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000328:Adult; D003560:Cysts / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D014564:Urogenital Abnormalities / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014599:Uterus / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery
keywords: adenomyoma; adenomyosis; endometriosis; giant cystic adenomyoma; hysteroscopy