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Juvenile cystic adenomyosis: A case report and review of the literature
Author(s) -
Deblaere Lieselot,
Froyman Wouter,
Van den Bosch Thierry,
Van Rompuy AnneSophie,
Kaijser Jeroen,
Deprest Jan,
Timmerman Dirk
Publication year - 2019
Publication title -
australasian journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
eISSN - 2205-0140
pISSN - 1836-6864
DOI - 10.1002/ajum.12171
Subject(s) - medicine , adenomyosis , sclerotherapy , lesion , juvenile , pelvic pain , surgery , cyst , endometriosis , gynecology , biology , genetics
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.