Secondary cystic adenomyosis in a young woman: a case report
Background: Cystic adenomyosis (CA) is a rare form of adenomyosis. Case: We present for the first time secondary CA in a young woman with increased menstrual volume as the main clinical manifestation. A 23-year-old woman with a history of two uterine surgeries was hospitalized with increased menstru...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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IMR Press
2022-09-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/49/10/10.31083/j.ceog4910223 |
| _version_ | 1811250908693004288 |
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| author | Hong-Xuan Li Ke-Juan Song Nan-Nan Xia Xiao-Yu Ji Lei Sui Qin Yao |
| author_facet | Hong-Xuan Li Ke-Juan Song Nan-Nan Xia Xiao-Yu Ji Lei Sui Qin Yao |
| author_sort | Hong-Xuan Li |
| collection | DOAJ |
| description | Background: Cystic adenomyosis (CA) is a rare form of adenomyosis. Case: We present for the first time secondary CA in a young woman with increased menstrual volume as the main clinical manifestation. A 23-year-old woman with a history of two uterine surgeries was hospitalized with increased menstrual flow volume and no dysmenorrhea or other discomfort. Ultrasound resulted in misdiagnosis as myoma of the uterus. She underwent laparoscopic surgery for adenomyoma excision with levonorgestrel-releasing intrauterine system (LNG-IUS) placement. During surgery, the lesions were completely removed under ultrasound guidance, and a specimen bag was used to reduce residual lesions in the abdominal cavity. She was postoperative treated with gonadotropin-releasing hormone analog (GnRH-a). Surgical findings and postoperative pathology confirmed CA. She has been followed up for 2 years without recurrence. Conclusions: A CA diagnosis should be considered for clinical manifestations of increased menstrual volume and dysmenorrhea in young patients with previous uterine surgery histories. Magnetic resonance imaging (MRI) is very important for CA diagnosis. Conservative surgery along with GnRH-a and LNG-IUS therapy can effectively prevent recurrence. |
| first_indexed | 2024-04-12T16:11:48Z |
| format | Article |
| id | doaj.art-5ad17048e38a4a09951e0bfd1a40fe96 |
| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-04-12T16:11:48Z |
| publishDate | 2022-09-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-5ad17048e38a4a09951e0bfd1a40fe962022-12-22T03:25:52ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-09-01491022310.31083/j.ceog4910223S0390-6663(22)01926-1Secondary cystic adenomyosis in a young woman: a case reportHong-Xuan Li0Ke-Juan Song1Nan-Nan Xia2Xiao-Yu Ji3Lei Sui4Qin Yao5Department of Medicine, Qingdao University, 266101 Qingdao, Shandong, ChinaDepartment of Obstetrics and Gynecology, Affiliated Hospital of Qingdao University, 266071 Qingdao, Shandong, ChinaDepartment of Medicine, Qingdao University, 266101 Qingdao, Shandong, ChinaDepartment of Medicine, Qingdao University, 266101 Qingdao, Shandong, ChinaDepartment of Medicine, Qingdao University, 266101 Qingdao, Shandong, ChinaDepartment of Obstetrics and Gynecology, Affiliated Hospital of Qingdao University, 266071 Qingdao, Shandong, ChinaBackground: Cystic adenomyosis (CA) is a rare form of adenomyosis. Case: We present for the first time secondary CA in a young woman with increased menstrual volume as the main clinical manifestation. A 23-year-old woman with a history of two uterine surgeries was hospitalized with increased menstrual flow volume and no dysmenorrhea or other discomfort. Ultrasound resulted in misdiagnosis as myoma of the uterus. She underwent laparoscopic surgery for adenomyoma excision with levonorgestrel-releasing intrauterine system (LNG-IUS) placement. During surgery, the lesions were completely removed under ultrasound guidance, and a specimen bag was used to reduce residual lesions in the abdominal cavity. She was postoperative treated with gonadotropin-releasing hormone analog (GnRH-a). Surgical findings and postoperative pathology confirmed CA. She has been followed up for 2 years without recurrence. Conclusions: A CA diagnosis should be considered for clinical manifestations of increased menstrual volume and dysmenorrhea in young patients with previous uterine surgery histories. Magnetic resonance imaging (MRI) is very important for CA diagnosis. Conservative surgery along with GnRH-a and LNG-IUS therapy can effectively prevent recurrence.https://www.imrpress.com/journal/CEOG/49/10/10.31083/j.ceog4910223cystic adenomyosisadenomyoma excisiongnrh-alng-ius |
| spellingShingle | Hong-Xuan Li Ke-Juan Song Nan-Nan Xia Xiao-Yu Ji Lei Sui Qin Yao Secondary cystic adenomyosis in a young woman: a case report Clinical and Experimental Obstetrics & Gynecology cystic adenomyosis adenomyoma excision gnrh-a lng-ius |
| title | Secondary cystic adenomyosis in a young woman: a case report |
| title_full | Secondary cystic adenomyosis in a young woman: a case report |
| title_fullStr | Secondary cystic adenomyosis in a young woman: a case report |
| title_full_unstemmed | Secondary cystic adenomyosis in a young woman: a case report |
| title_short | Secondary cystic adenomyosis in a young woman: a case report |
| title_sort | secondary cystic adenomyosis in a young woman a case report |
| topic | cystic adenomyosis adenomyoma excision gnrh-a lng-ius |
| url | https://www.imrpress.com/journal/CEOG/49/10/10.31083/j.ceog4910223 |
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