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Isolated adenomyotic cyst associated with severe dysmenorrhea
Author(s) -
Kamio Masaki,
Taguchi Shuuhei,
Oki Toshimichi,
Tsuji Takahiro,
Iwamoto Ichiro,
Yoshinaga Mitsuhiro,
Douchi Tsutomu
Publication year - 2007
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2007.00543.x
Subject(s) - medicine , adenomyosis , magnetic resonance imaging , hysterosalpingography , cyst , radiology , uterus , pregnancy , infertility , genetics , biology
A case of a 23‐year‐old, nulliparous female with a very rare isolated adenomyotic cyst inducing severe dysmenorrhea was seen. Transvaginal ultrasonographic tomography and magnetic resonance imaging (MRI) showed a 3 × 3‐cm cystic mass within the left anterior wall of the uterine corpus. The cystic space was filled with hyperintense fluid on T1‐weighted images, which was surrounded by hypointense tissue beside the right uterine corpus on T2‐weighted images. The case was preliminarily diagnosed using MRI as having cavitated rudimentary uterine horn. However, hysterosalpingography excluded the possibility of uterine anomaly. A hemorrhagic adenomyotic cyst measuring 3 cm within the left anterior wall of the uterine corpus was surgically removed. There was no evidence of diffuse adenomyosis uteri. Dysmenorrhea completely disappeared postoperatively.