Cystic Adenomyoma in Pregnancy: A Case Report
Stephanie Verta, Christine E Brambs, Corina Christmann Department of Obstetrics and Gynecology, Lucerne Cantonal Hospital, Lucerne, SwitzerlandCorrespondence: Stephanie Verta, Department of Obstetrics and Gynecology, Lucerne Cantonal Hospital, Lucerne, Switzerland, Tel +41 41 205 28 16, Email stepha...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2024-03-01
|
| Series: | International Journal of Women's Health |
| Subjects: | |
| Online Access: | https://www.dovepress.com/cystic-adenomyoma-in-pregnancy-a-case-report-peer-reviewed-fulltext-article-IJWH |
| _version_ | 1797269836094504960 |
|---|---|
| author | Verta S Brambs CE Christmann C |
| author_facet | Verta S Brambs CE Christmann C |
| author_sort | Verta S |
| collection | DOAJ |
| description | Stephanie Verta, Christine E Brambs, Corina Christmann Department of Obstetrics and Gynecology, Lucerne Cantonal Hospital, Lucerne, SwitzerlandCorrespondence: Stephanie Verta, Department of Obstetrics and Gynecology, Lucerne Cantonal Hospital, Lucerne, Switzerland, Tel +41 41 205 28 16, Email stephanie.verta@luks.chAbstract: Cystic adenomyomas (CA) are rare. They primarily affect adolescents and young women in their fertile years. Therefore, fertility and pregnancy outcome are of pivotal relevance in this patient collective. Apart from the guidelines of the European Society of Human Reproduction and Embryology (ESHRE) on the management of endometriosis in general, there are no specific treatment recommendations for CA and, as far as our research shows, no data illustrating the behavior of a CA over the course of pregnancy. Thus, we report the case of a 32-year-old 1-gravida, 1-para, preconceptionally diagnosed with a CA by ultrasound. After thoroughly discussing further treatment options, the decision was made to opt for a more conservative approach and not perform surgery before attempting a next pregnancy. The patient conceived spontaneously and sonographic monitoring of the CA throughout pregnancy showed complete regression of the cystic component during the second trimester. A healthy baby was delivered at term by an uncomplicated elective cesarean section. Following a review of the literature and taking into account the course of our case, we propose the feasibility of a conservative, non-surgical approach in women with a CA and the desire to conceive.Keywords: cystic adenomyoma, endometriosis, conservative management, pregnancy, fertility |
| first_indexed | 2024-04-25T01:54:42Z |
| format | Article |
| id | doaj.art-dcccd89ccc2e4f43b6865dacdf64ff4b |
| institution | Directory Open Access Journal |
| issn | 1179-1411 |
| language | English |
| last_indexed | 2024-04-25T01:54:42Z |
| publishDate | 2024-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of Women's Health |
| spelling | doaj.art-dcccd89ccc2e4f43b6865dacdf64ff4b2024-03-07T17:38:47ZengDove Medical PressInternational Journal of Women's Health1179-14112024-03-01Volume 1642143291033Cystic Adenomyoma in Pregnancy: A Case ReportVerta SBrambs CEChristmann CStephanie Verta, Christine E Brambs, Corina Christmann Department of Obstetrics and Gynecology, Lucerne Cantonal Hospital, Lucerne, SwitzerlandCorrespondence: Stephanie Verta, Department of Obstetrics and Gynecology, Lucerne Cantonal Hospital, Lucerne, Switzerland, Tel +41 41 205 28 16, Email stephanie.verta@luks.chAbstract: Cystic adenomyomas (CA) are rare. They primarily affect adolescents and young women in their fertile years. Therefore, fertility and pregnancy outcome are of pivotal relevance in this patient collective. Apart from the guidelines of the European Society of Human Reproduction and Embryology (ESHRE) on the management of endometriosis in general, there are no specific treatment recommendations for CA and, as far as our research shows, no data illustrating the behavior of a CA over the course of pregnancy. Thus, we report the case of a 32-year-old 1-gravida, 1-para, preconceptionally diagnosed with a CA by ultrasound. After thoroughly discussing further treatment options, the decision was made to opt for a more conservative approach and not perform surgery before attempting a next pregnancy. The patient conceived spontaneously and sonographic monitoring of the CA throughout pregnancy showed complete regression of the cystic component during the second trimester. A healthy baby was delivered at term by an uncomplicated elective cesarean section. Following a review of the literature and taking into account the course of our case, we propose the feasibility of a conservative, non-surgical approach in women with a CA and the desire to conceive.Keywords: cystic adenomyoma, endometriosis, conservative management, pregnancy, fertilityhttps://www.dovepress.com/cystic-adenomyoma-in-pregnancy-a-case-report-peer-reviewed-fulltext-article-IJWHcystic adenomyomaendometriosisconservative managementpregnancyfertility |
| spellingShingle | Verta S Brambs CE Christmann C Cystic Adenomyoma in Pregnancy: A Case Report International Journal of Women's Health cystic adenomyoma endometriosis conservative management pregnancy fertility |
| title | Cystic Adenomyoma in Pregnancy: A Case Report |
| title_full | Cystic Adenomyoma in Pregnancy: A Case Report |
| title_fullStr | Cystic Adenomyoma in Pregnancy: A Case Report |
| title_full_unstemmed | Cystic Adenomyoma in Pregnancy: A Case Report |
| title_short | Cystic Adenomyoma in Pregnancy: A Case Report |
| title_sort | cystic adenomyoma in pregnancy a case report |
| topic | cystic adenomyoma endometriosis conservative management pregnancy fertility |
| url | https://www.dovepress.com/cystic-adenomyoma-in-pregnancy-a-case-report-peer-reviewed-fulltext-article-IJWH |
| work_keys_str_mv | AT vertas cysticadenomyomainpregnancyacasereport AT brambsce cysticadenomyomainpregnancyacasereport AT christmannc cysticadenomyomainpregnancyacasereport |