Frontiers in Medicine (Jan 2024)

ACUM, an easily underdiagnosed cause of dysmenorrhea—A case report

  • Qicai Hu,
  • Qicai Hu,
  • Qicai Hu,
  • Chunlei Guo,
  • Chunlei Guo,
  • Chunlei Guo,
  • Qing Chen,
  • Qing Chen,
  • Qing Chen,
  • Wei Zhang,
  • Wei Zhang,
  • Wei Zhang,
  • Huifang Wang,
  • Huifang Wang,
  • Huifang Wang,
  • Weixia Wei,
  • Weixia Wei,
  • Weixia Wei

DOI
https://doi.org/10.3389/fmed.2024.1308299
Journal volume & issue
Vol. 11

Abstract

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This report described three cases with long-term severe dysmenorrhea, and these cases were referred to our department for medical help. The diagnosis of accessory cavitated uterine malformation (ACUM) was considered based on symptoms and ultrasound/MRI findings. Moreover, a combined approach involving hysteroscopic surgery and laparoscopic surgery was undertaken, and no complications occurred during surgery and in the post-operative period. It is important to consider ACUM in patients with severe dysmenorrhea that does not respond to medical management. Surgery is the most effective treatment for this anomaly.

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