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Case Reports
. 2012 Sep;5(3):285-8.
doi: 10.4103/0974-1208.106342.

Cystic Adenomyoma simulates uterine malformation: A diagnostic dilemma: Case report of two unusual cases

Nutan Jain  1 , Shradha Goel
Affiliations
Case Reports

Cystic Adenomyoma simulates uterine malformation: A diagnostic dilemma: Case report of two unusual cases

Nutan Jain et al. J Hum Reprod Sci. 2012 Sep.

Abstract

Cystic adenomyosis is a rare form of adenomyosis mostly seen in middle aged women.We report two cases of cystic adenomyosis in juvenile patients, which simulate uterine malformation and presented as a diagnostic dilemma. The first patient initially was diagnosed as uterus bicornis with a hematometra in obstructed rudimentary horn while the second patient was diagnosed as broad ligament fibroid. Surgical exploration by laparoscopic approach confirmed the diagnosis and excision of the cystic mass relieved the symptoms of the patients.

Keywords: Adult cystic adenomyoma; juvenile cystic adenomyoma; mullerian duct anomalies; uterine bicornis.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Case 1: USG showing endometrial collection
Figure 2
Figure 2
MRI showing uterus bicornis with right horn hematometra
Figure 3
Figure 3
Pitressin injected over cystic adenomyoma
Figure 4
Figure 4
Chocolate material drained from cystic adenomyoma
Figure 5
Figure 5
Cyst wall enucleated
Figure 6
Figure 6
Defect closed meticulously in three layers
Figure 7
Figure 7
Case 2: Incision over cystic swelling- chocolate material drained
Figure 8
Figure 8
Defect closed meticulously in three layers
See this image and copyright information in PMC

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