IJCP Editorial Team
Accessory Cavitated Uterine Mass: A case of variant Mullerian Anomaly
An accessory cavitated uterine mass (ACUM) is a rare Müllerian anomaly characterized by an extra cavity in the uterus alongside a normal uterine cavity. This condition is often seen in young, nulliparous women who present with severe dysmenorrhea and pelvic pain.
A 28-year-old parous woman was diagnosed with a rare case of ACUM. She had a three-year history of progressively worsening dysmenorrhea that was partially alleviated by oral analgesics and hormonal medications.
MRI revealed a normal uterine cavity and a 2.1 × 2.6 cm isointense lesion on the left anterolateral side of the uterus.
The lady desired future fertility and was managed by uterine-sparing laparoscopic excision. A globular swelling was found in the left uterine wall below the round ligament during laparoscopy. After confirming the anatomy, the accessory mass was dissected and excised, and the myometrial defect was closed using a 1-0 V-Loc barbed suture. The excised mass contained a 2 × 2 cm cystic lesion filled with chocolate-colored fluid.
Histopathology confirmed the diagnosis of ACUM. The patient experienced complete relief from dysmenorrhea in her next menstrual cycle and is currently attempting natural conception.
ACUM can be effectively treated with surgery without compromising the endometrial cavity.
Source: Rajput M, Mahey R, Rana A, et al. Indian Obstetrics and Gynaecology. 2024 Jul 23;14(2).
IJCP Editorial Team
Comprising seasoned professionals and experts from the medical field, the IJCP editorial team is dedicated to delivering timely and accurate content and thriving to provide attention-grabbing information for the readers. What sets them apart are their diverse expertise, spanning academia, research, and clinical practice, and their dedication to upholding the highest standards of quality and integrity. With a wealth of experience and a commitment to excellence, the IJCP editorial team strives to provide valuable perspectives, the latest trends, and in-depth analyses across various medical domains, all in a way that keeps you interested and engaged.
More FAQs by IJCP Editorial Team
Related FAQs
Medtalks is India's fastest growing Healthcare Learning and Patient Education Platform designed and developed to help doctors and other medical professionals to cater educational and training needs and to discover, discuss and learn the latest and best practices across 100+ medical specialties. Also find India Healthcare Latest Health News & Updates on the India Healthcare at Medtalks
Please login to comment on this article