Iranpour Pooya, Haseli Sara, Keshavarz Pedram, Dehghanian Amirreza, Khalili Neda
Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Case Rep Med. 2021 Feb 11;2021:6649663. doi: 10.1155/2021/6649663. eCollection 2021.
Accessory and cavitated uterine mass (ACUM) is a rare form of Mullerian anomaly that usually presents in young females with chronic cyclic pelvic pain and/or dysmenorrhea. This clinical entity is often underdiagnosed as it may be mistaken for other differential diagnoses, such as pedunculated myoma or adnexal lesions. Imaging modalities, including ultrasonography and magnetic resonance imaging (MRI), accompanied with relevant and suspicious clinical findings are important tools in making acorrect diagnosis. To date, surgical excision of the mass remains the mainstay of treatment,which provides significant symptom relief. In this study, we present a female adolescent with chronic pelvic pain since menarche who underwent laparotomy with the presumed diagnosis of a left-sided ovarian mass. Retrospective evaluation of pelvic MR images demonstrated that the lesion was in fact an ACUM, which was further confirmed by histopathological examination.
附件性和空化性子宫肿块（ACUM）是苗勒管异常的一种罕见形式，通常见于患有慢性周期性盆腔疼痛和/或痛经的年轻女性。这种临床实体常被漏诊，因为它可能被误诊为其他鉴别诊断，如带蒂肌瘤或附件病变。包括超声检查和磁共振成像（MRI）在内的影像学检查方法，结合相关且可疑的临床发现，是做出正确诊断的重要工具。迄今为止，手术切除肿块仍然是主要的治疗方法，可显著缓解症状。在本研究中，我们报告一名自初潮起就患有慢性盆腔疼痛的女性青少年，她接受了剖腹手术，初步诊断为左侧卵巢肿块。对盆腔磁共振图像的回顾性评估表明，该病变实际上是ACUM，组织病理学检查进一步证实了这一点。
