ACUM, an easily underdiagnosed cause of dysmenorrhea—A case report

This report described three cases with long-term severe dysmenorrhea, and these cases were referred to our department for medical help. The diagnosis of accessory cavitated uterine malformation (ACUM) was considered based on symptoms and ultrasound/MRI findings. Moreover, a combined approach involvi...

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Main Authors: Qicai Hu, Chunlei Guo, Qing Chen, Wei Zhang, Huifang Wang, Weixia Wei
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1308299/full
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author Qicai Hu
Qicai Hu
Qicai Hu
Chunlei Guo
Chunlei Guo
Chunlei Guo
Qing Chen
Qing Chen
Qing Chen
Wei Zhang
Wei Zhang
Wei Zhang
Huifang Wang
Huifang Wang
Huifang Wang
Weixia Wei
Weixia Wei
Weixia Wei
author_facet Qicai Hu
Qicai Hu
Qicai Hu
Chunlei Guo
Chunlei Guo
Chunlei Guo
Qing Chen
Qing Chen
Qing Chen
Wei Zhang
Wei Zhang
Wei Zhang
Huifang Wang
Huifang Wang
Huifang Wang
Weixia Wei
Weixia Wei
Weixia Wei
author_sort Qicai Hu
collection DOAJ
description This report described three cases with long-term severe dysmenorrhea, and these cases were referred to our department for medical help. The diagnosis of accessory cavitated uterine malformation (ACUM) was considered based on symptoms and ultrasound/MRI findings. Moreover, a combined approach involving hysteroscopic surgery and laparoscopic surgery was undertaken, and no complications occurred during surgery and in the post-operative period. It is important to consider ACUM in patients with severe dysmenorrhea that does not respond to medical management. Surgery is the most effective treatment for this anomaly.
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spelling doaj.art-71978153b7a5410a9d7dc76cfd33ea312024-01-26T04:25:07ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-01-011110.3389/fmed.2024.13082991308299ACUM, an easily underdiagnosed cause of dysmenorrhea—A case reportQicai Hu0Qicai Hu1Qicai Hu2Chunlei Guo3Chunlei Guo4Chunlei Guo5Qing Chen6Qing Chen7Qing Chen8Wei Zhang9Wei Zhang10Wei Zhang11Huifang Wang12Huifang Wang13Huifang Wang14Weixia Wei15Weixia Wei16Weixia Wei17Center of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaShenzhen Peking University-Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Institute of Obstetrics and Gynecology, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaCenter of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaShenzhen Peking University-Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Institute of Obstetrics and Gynecology, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaCenter of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaShenzhen Peking University-Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Institute of Obstetrics and Gynecology, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaCenter of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaShenzhen Peking University-Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Institute of Obstetrics and Gynecology, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaCenter of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaShenzhen Peking University-Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Institute of Obstetrics and Gynecology, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaCenter of Obstetrics and Gynecology, Peking University Shenzhen Hospital, Shenzhen, ChinaShenzhen Peking University-Hong Kong University of Science and Technology (PKU-HKUST) Medical Center, Institute of Obstetrics and Gynecology, Shenzhen, ChinaShenzhen Key Laboratory on Technology for Early Diagnosis of Major Gynecologic Diseases, Shenzhen, ChinaThis report described three cases with long-term severe dysmenorrhea, and these cases were referred to our department for medical help. The diagnosis of accessory cavitated uterine malformation (ACUM) was considered based on symptoms and ultrasound/MRI findings. Moreover, a combined approach involving hysteroscopic surgery and laparoscopic surgery was undertaken, and no complications occurred during surgery and in the post-operative period. It is important to consider ACUM in patients with severe dysmenorrhea that does not respond to medical management. Surgery is the most effective treatment for this anomaly.https://www.frontiersin.org/articles/10.3389/fmed.2024.1308299/fullaccessory cavitated uterine malformationdysmenorrheaultrasoundlaparoscopysurgery
spellingShingle Qicai Hu
Qicai Hu
Qicai Hu
Chunlei Guo
Chunlei Guo
Chunlei Guo
Qing Chen
Qing Chen
Qing Chen
Wei Zhang
Wei Zhang
Wei Zhang
Huifang Wang
Huifang Wang
Huifang Wang
Weixia Wei
Weixia Wei
Weixia Wei
ACUM, an easily underdiagnosed cause of dysmenorrhea—A case report
Frontiers in Medicine
accessory cavitated uterine malformation
dysmenorrhea
ultrasound
laparoscopy
surgery
title ACUM, an easily underdiagnosed cause of dysmenorrhea—A case report
title_full ACUM, an easily underdiagnosed cause of dysmenorrhea—A case report
title_fullStr ACUM, an easily underdiagnosed cause of dysmenorrhea—A case report
title_full_unstemmed ACUM, an easily underdiagnosed cause of dysmenorrhea—A case report
title_short ACUM, an easily underdiagnosed cause of dysmenorrhea—A case report
title_sort acum an easily underdiagnosed cause of dysmenorrhea a case report
topic accessory cavitated uterine malformation
dysmenorrhea
ultrasound
laparoscopy
surgery
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1308299/full
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