Laparoscopic resection of cystic adenomyosis in a teenager with arcurate uterus
| Autor: | Charles Koh, Masoud Ganji, Elizabeth Ball, Grace M. Janik |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty medicine.diagnostic_test Obstetrics Arcuate uterus business.industry medicine.medical_treatment Reproductive medicine Uterus Obstetrics and Gynecology Interventional radiology medicine.disease medicine.anatomical_structure medicine Surgery Cyst Adenomyosis business Adenomyoma |
| Zdroj: | Gynecological Surgery. 6:367-370 |
| ISSN: | 1613-2084 1613-2076 |
| DOI: | 10.1007/s10397-009-0505-3 |
| Popis: | Whereas diffuse adenomyosis is a common finding in parous women, cystic adenomyosis causing severe dysmenorrhoea is very rarely reported and possibly under-diagnosed, particularly in adolescents. We report a case of juvenile cystic adenomyosis in a 19-year-old nulliparous patient presenting with secondary dysmenorrhoea and non-cyclical pain. A 20-mm adenomyotic cyst in the fundal myometrium was successfully excised laparoscopically by modified myomectomy. It is mandatory to take persistent primary and early secondary dysmenorrhoea seriously, especially after poor response to medical treatment and to have a low threshold for further investigations, because a diagnosis of cystic adenomyosis requires targeted therapeutic intervention. |
| Databáze: | OpenAIRE |
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