A Case Report of an Accessory and Cavitated Uterine Mass Treated with Total Laparoscopic Hysterectomy

A Case Report of an Accessory and Cavitated Uterine Mass Treated with Total Laparoscopic Hysterectomy

Accessory and Cavitated Uterine Mass (ACUM) is a condition defined by the presence of a non-communicating uterine mass close to the insertion of the round ligament. ACUM is a rare Müllerian anomaly found in young women and is diagnosed by the presents of a central cavity in the uterus, lined by func...

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Veröffentlicht in:Yonago Acta Medica 2021, Vol.64 (2), p.207-209
Hauptverfasser: Azuma, Yukihiro, Taniguchi, Fuminori, Wibisono, Hermawan, Ikebuchi, Ai, Moriyama, Maako, Harada, Tasuku
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Patient Report
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container_issue 2
container_start_page 207
container_title Yonago Acta Medica
container_volume 64
creator Azuma, Yukihiro
Taniguchi, Fuminori
Wibisono, Hermawan
Ikebuchi, Ai
Moriyama, Maako
Harada, Tasuku
description Accessory and Cavitated Uterine Mass (ACUM) is a condition defined by the presence of a non-communicating uterine mass close to the insertion of the round ligament. ACUM is a rare Müllerian anomaly found in young women and is diagnosed by the presents of a central cavity in the uterus, lined by functional endometrium, and surrounded by a ring of smooth muscle. In most cases, surgical treatment is recommended due to severe dysmenorrhea. Herein, we present a case of a woman with severe dysmenorrhea since adolescence which was not relieved with any form of hormonal treatment. ACUM was suspected preoperatively based on MRI findings, and she was treated with total laparoscopic hysterectomy. A uterine mass was found at the insertion of the right round ligament during surgery. All her symptoms improved after resection.
doi_str_mv 10.33160/yam.2021.05.004
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title A Case Report of an Accessory and Cavitated Uterine Mass Treated with Total Laparoscopic Hysterectomy
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