| Autor: |
Sushila Arya, M.D., M.S., Heather R. Burks, M.D. |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
F&S Reports, Vol 2, Iss 2, Pp 166-171 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2666-3341 |
| DOI: |
10.1016/j.xfre.2021.02.002 |
| Popis: |
Objective: To report 2 very rare cases of young women who presented with severe dysmenorrhea and a large cystic lesion in the myometrium, which presented a diagnostic dilemma because they were confused with a Müllerian anomaly. Design: Case reports and a literature review. Setting: A university-based reproductive endocrinology and infertility clinic in the United States. Patient(s): An 18- and a 16-year-old nulliparous girl presented with worsening of their longstanding pelvic pain, and imaging study results were suggestive of a Müllerian anomaly. Intervention(s): Abdominal and pelvic computed tomography, transvaginal ultrasonography, pelvic magnetic resonance imaging, operative laparoscopy, and excision of a juvenile cystic adenomyoma (JCA). Main Outcome Measure(s): Resolution of the pelvic pain and restoration of normal uterine anatomy after appropriate intervention Result(s): Restoration of normal uterine anatomy, which was confirmed by 3-dimensional ultrasonography for case 1; however, case 2 still had a small remnant of JCA postoperatively. Conclusion(s): Clinical and radiologic examinations may not be useful in differentiating a Müllerian anomaly from other rare abnormalities like JCA. When in doubt, laparoscopy can assist in diagnosing and treating the condition. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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