KP Journal of Clinical and Medical Case Reports

Case Report

Accessory Cavitated Uterine Mass (ACUM) - A Rare Cause of Pelvic Pain in Young Women

Brinderjeet Kaur

Department of Obstetrics and Gynecology, Santokba Durlabhji Memorial Hospital and Research Center, India

Received: September 30, 2022; Published: October 12, 2022

*Corresponding author: Brinderjeet Kaur, Department of Obstetrics and Gynecology, Santokba Durlabhji Memorial Hospital and Research Center, India

Copyright: © 2022 Brinderjeet Kaur, This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

DOI: 10.71205/KPJCMCR/1001

Abstract

Background: A rare Mullerian anomaly may be a cause of severe dysmenorrhea and recurrent pelvic pain not responding to medical management in young women.

Materials and Methods: We present a case report of a rare anomaly, accessory cavitated uterine mass (ACUM) / Uterine like mass managed successfully by laparoscopic resection of the uterine mass and suturing of the myometrial defect on uterus at our institute SDMH.

Results: ACUM or Accessory cavitated uterine mass earlier reported as juvenile cystic adenomyoma represent a rare, newly recognized Mullerian anomaly observed in young females suffering from severe dysmenorrhea and recurrent pelvic pain. The diagnosis is made when an isolated extra-cavitated uterine mass is seen in an otherwise normal appearing uterus with unremarkable endometrial lumen and adnexal structures. Laparoscopic excision of the mass remains the mainstay of treatment.

Conclusion: Awareness about the entity, early diagnosis and laparoscopic excision of the mass brings instant relief to the young woman.

Keywords

Pelvic Pain, Dysmenorrhea, Accessory and Cavitated Uterine Mass; Juvenile Cystic Adenomyoma; Mullerian Anomalies; Uterus-like Mass.

Citation: Kaur B. Accessory Cavitated Uterine Mass (ACUM) - A Rare Cause of Pelvic Pain in Young Women. KP J Clin Med Case Rep. 2022; 1(1); 1001