Abstract
BackgroundEndometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm.Case presentationA 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted.ConclusionsThis is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.
Highlights
Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions
This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery
Adenomyosis is the presence of endometrial glands and stroma in the context of the myometrium, with adjacent smooth muscle hyperplasia
Summary
Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. Conclusions: This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery. The patients with adenomyotic cysts may have important clinical manifestations of pelvic pain, severe dysmenorrhea, and may have no any gynecologic surgical treatment.
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