Endocrines (Aug 2021)

A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video

  • Masafumi Katakura,
  • Yukiko Katagiri,
  • Kuniaki Ota,
  • Takafumi Mukai,
  • Kentaro Nakaoka,
  • Toshimitsu Maemura,
  • Mineto Morita

DOI
https://doi.org/10.3390/endocrines2030026
Journal volume & issue
Vol. 2, no. 3
pp. 284 – 292

Abstract

Read online

Background: Juvenile cystic adenomyosis (JCA) is a rare uterine lesion. We present the case of a young woman who was diagnosed with JCA and subsequently managed with laparoscopic cyst removal with sharp and blunt dissection. Moreover, we provide a literature review and a surgical video. Case: A 22-year-old nulliparous woman presented with severe dysmenorrhea and was assessed using contrast-enhanced abdominal computed tomography, transvaginal ultrasonography and pelvic magnetic resonance imaging, and diagnosed with a cystic lesion on the left side of the myometrium. She underwent laparoscopic cyst excision and uterine reconstruction. Histology was suggestive of JCA. The dysmenorrhea resolved postoperatively. Conclusion: Surgical resection is the first choice of treatment for cystic adenomyosis, and a laparoscopic approach using scissor forceps is effective.

Keywords