Adenomyotic cyst of the uterus associated with pelvic pain: A case report

Abstract

Adenomyotic cysts of the uterus are extremely rare and this case report is to document an adenomyotic cyst of the uterus associated with pelvic pain. A 27-year old nulliparous patient admitted to the hospital with the complaint of dysmenorrhea, dyspareunia and pain in the right pelvic region for the last 3 months. Transvaginal ultrasonographic examination revealed a 50 × 36 mm intramural cystic lesion on the right region of the corpus uteri. Hysteroscopic examination showed that it did not deteriorate the endometrial cavity. During laparatomy dissection of the uterine wall revealed 5 cm cystic lesion that was excised circumferentially protecting the surrounding myometrial tissue. The definitive pathology report came out as adenomyotic tissue. Imaging techniques are critical in differential diagnosis of adenomyotic cysts and to choose the appropriate intervention. Medical therapy or surgical intervention like excision of the cyst or hysterectomy may be the choices of treatment. J Clin Exp Invest 2014; 5 (1): 100-102

Keywords

• Adenomyotic cyst, pelvic pain, laparatomy..

Pelvik ağrı ile ilişkili uterusun adenomyotik kisti: Olgu sunumu

Abstract

Uterusun adenomyotik kistleri çok nadirdir ve bu vaka sunumunda pelvik ağrı ile ilişkili uterusun adenomyotik kisti sunulmuştur. 27 yaşındaki nulligravid hasta dismenore, disparenü ve son 3 aydır devam eden sağ pelvik ağrı şikayeti ile hastaneye başvurmuştur. Transvajinal ultrasonografide uterus korpusunun sağında 50 × 36 mm intramural kistik lezyon saptandı. Histeroskopik incelemede lezyonun endometrial kaviteyi etkilemediği izlendi. Laparatomi sırasında çevre myometrial doku korunarak 5 cm boyutundaki kist çepeçevre diseke edilerek çıkarıldı. Patoloji sonucu adenomyotik doku olarak geldi. Görüntüleme yöntemleri adenomyotik kistlerin ayırıcı tanısında ve uygun tedavinin seçiminde önemlidir. Medikal tedavi veya kistin eksizyonu ya da histerektomi gibi cerrahi yaklaşımlar tedavi seçenekleri olabilir.

Keywords

• Adenomyotik kist, pelvik ağrı, laparatomi.

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