关键词: ACUM Accessory and cavitated uterine mass Chronic pelvic pain Cystic adenomyosis Degenerating fibroid Dysmenorrhea Infertility Laparoscopic excision Obstructed non-communicating rudimentary uterine horn

Mesh : Female Humans Dysmenorrhea / complications surgery Laparoscopy / adverse effects Uterus Pelvic Pain / etiology Myometrium

来  源:   DOI:10.1007/s00261-022-03790-0

Abstract:
Accessory cavitated uterine mass (ACUM) is a rare form of developmental mullerian anomaly which causes chronic pelvic pain, dysmenorrhea and infertility in young females. It is a non-communicating, accessory cavity within an otherwise normal uterus, lined by functional endometrium and surrounded by myometrium-like smooth muscle cells which imparts it uterus-like appearance. USG and MRI are the imaging modalities which help in reaching the diagnosis. Knowledge of this entity and awareness of its imaging features can help diagnose this often underdiagnosed and surgically correctable cause of dysmenorrhea.
摘要:
附件空化子宫肿块(ACUM)是一种罕见的发育性苗勒管异常,可引起慢性盆腔疼痛,年轻女性的痛经和不孕。这是一种非沟通,在原本正常的子宫内的副腔,由功能性子宫内膜衬砌,并被子宫肌层样平滑肌细胞包围,从而赋予其子宫样外观。USG和MRI是有助于达到诊断的成像方式。对该实体的了解和对其成像特征的认识可以帮助诊断这种经常未被诊断且手术可校正的痛经原因。
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