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KMID : 1033620210480010091
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Clinical and Experimental Reproductive Medicine
2021 Volume.48 No. 1 p.91 ~ p.94
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Adenomyotic cyst mimicking a congenital Mullerian anomaly: Diagnosis and treatment with laparoscopy
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Jha Sangam
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Abstract
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A 28-year-old woman presented with a 1-year history of severe progressive dysmenorrhea following suction evacuation and tubal ligation. Sonography showed a bicornuate uterus with hematometra in the left horn. Hysteroscopy ruled out a diagnosis of a congenital Mullerian anomaly, as both ostia appeared normal. Under laparoscopy, a mass was seen on the left fundal region near the insertion of the round ligament, and needle aspiration of a chocolate-colored fluid confirmed the diagnosis of an adenomyotic cyst. The cyst was excised. The patient recovered well and has been symptom-free since surgery. Adenomyotic cyst is a rare entity in young women and must be differentiated from obstructive Mullerian anomaly. Laparoscopy is the preferred minimally invasive modality for managing this rare disorder.
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KEYWORD
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Adenomyotic cyst, Dysmenorrhea, Laparoscopy, Obstructive Mullerian anomaly
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