Vidyasagara M, Patel Smeet, Patel Sanjay
Mayflower Womens Hospital PVT Limited, Ahmedabad, 380052 India.
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):589-591. doi: 10.1007/s13224-024-02090-5. Epub 2025 Feb 11.
Accessory cavitated uterine malformation (ACUM) is rare congenital anomaly of uterus, there is accessory cavity with functional endometrium, which does not have any connection to main uterine cavity, due to which patient typically presents with cyclical abdominal pain which starts after menstruation. Most common complaint being severe dysmenorrhea, which may require taking pain killers every cycle for pain relief, dysmenorrhea not relieving on taking Nsaids and also hormonal treatment will always point toward suspicion of having ACUM. 3D and 4D ultrasonography can help diagnosis the ACUM, hysteroscopy and sonosalphingography could aid in diagnosis, MRI abdomen and pelvis is more specific non-invasive investigation to diagnose as in this case. Surgical excision by laparoscopy is the gold standard treatment in these cases and can offer significant relief in symptoms.
副腔隙性子宫畸形（ACUM）是一种罕见的子宫先天性异常，存在带有功能性子宫内膜的副腔隙，该副腔隙与主子宫腔无任何连接，因此患者通常在月经后出现周期性腹痛。最常见的症状是严重痛经，可能每个月经周期都需要服用止痛药来缓解疼痛，服用非甾体抗炎药（NSAIDs）后痛经仍不缓解，而且激素治疗也总是会让人怀疑患有ACUM。三维和四维超声检查有助于诊断ACUM，宫腔镜检查和超声子宫输卵管造影有助于诊断，腹部和盆腔磁共振成像（MRI）是更具特异性的非侵入性诊断检查，如此病例所示。在这些病例中，腹腔镜手术切除是金标准治疗方法，可显著缓解症状。
