Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Jul 3;22(4):295-300.
doi: 10.1002/ajum.12171. eCollection 2019 Nov.

Juvenile cystic adenomyosis: A case report and review of the literature

Lieselot Deblaere  1 , Wouter Froyman  1   2 , Thierry Van den Bosch  1   2   3 , Anne-Sophie Van Rompuy  4 , Jeroen Kaijser  5 , Jan Deprest  1   2 , Dirk Timmerman  1   2
Affiliations
Case Reports

Juvenile cystic adenomyosis: A case report and review of the literature

Lieselot Deblaere et al. Australas J Ultrasound Med. .

Erratum in

  • Erratum.
    [No authors listed] [No authors listed] Australas J Ultrasound Med. 2023 Jun 29;26(3):210. doi: 10.1002/ajum.12357. eCollection 2023 Aug. Australas J Ultrasound Med. 2023. PMID: 37701774 Free PMC article.

Abstract

This report describes a case of a uterine cystic myometrial lesion in a 16-year-old adolescent girl presenting with pelvic pain and severe progressively worsening dysmenorrhoea. Patient's symptoms, ultrasound and MRI were suggestive of juvenile cystic adenomyosis (JCA). Medical treatment and alcohol sclerotherapy had a moderate and transient effect. The symptoms rapidly recurred, and the lesion was successfully excised via laparoscopic surgery. The treatment of JCA depends on patient's age, the symptoms' severity and the cyst location. Although rare, juvenile cystic adenomyosis should be considered in young women with severe dysmenorrhoea.

Keywords: cystic adenomyosis; dysmenorrhoea; juvenile cystic adenomyosis; ultrasonography; uterine cystic lesion.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to declare and were not recipients of research funding relevant to this study. The authors are in agreement with the contents of the manuscript.

Figures

Figure 1
Figure 1
MRI T1‐Weighted Axial Image Demonstrates a Hyperintense Cystic Lesion in the Myometrium.
Figure 2
Figure 2
MRI T2‐Weighted Axial Image Demonstrates a Cystic Lesion with Moderate Intensity Surrounded by a Thickened Cyst Wall with Hypointense Signal, Representative of Myometrial Hypertrophy.
Figure 3
Figure 3
Two‐Dimensional Transabdominal Ultrasound.
Figure 4
Figure 4
Three‐Dimensional Transabdominal Ultrasound.
Figure 5
Figure 5
(a) Intraoperatively, the Lesion was Located by a Laparoscopic Ultrasound Probe. (b) Marking of the Lesion on the Serosa. (c) Dissection of Lesion from the Surrounding Myometrium. (d) The Lesion. (e) Closure of Uterus by Two Layers Interrupted Vicryl Sutures. (f) Adhesion Barrier on the Surface of the Wound.
Figure 6
Figure 6
Histologic Analysis Shows a Dilated Glandular Duct delineated by a one‐layer Endometrial Epithelium Surrounded by Smooth Muscle Cells and Supported by Endometrial Stroma.
See this image and copyright information in PMC

References

    1. Basak S, Saha A. Adenomyosis: still largely under‐diagnosed. J Obstet Gynaecol 2009; 29: 533–555. - PubMed
    1. Tamura M, Fukaya T, Takaya R, Takaya R, Ip CW, Yajima A. Juvenile adenomyotic cyst of the corpus uteri with dysmenorrhea. Tohoku J Exp Med 1996; 178: 339–344. - PubMed
    1. Brosens I, Gordts S, Habiba M, Benagiano G. Uterine cystic adenomyosis: a disease of younger women. J Pediatr Adolesc Gynecol 2015; 28(6): 420–426. - PubMed
    1. Chun S, Hong D, Seong W, Choi M, Lee T. Juvenile cystic adenomyoma in a 19‐year old woman: a case report with a proposal for new diagnostic criteria. J Laparoendosc Adv Surg Tech 2011; 21: 771–774. - PubMed
    1. Takeuchi H, Kitade M, Kikuchi I, Kumakiri J, Kuroda K, Jinushi M. Diagnosis, laparoscopic management, and histopathologic findings of juvenile cystic adenomyoma: a review of nine cases. Fertil Steril 2010; 94(3): 862–868. - PubMed

Publication types

LinkOut - more resources