Isolated adenomyotic cyst associated with severe dysmenorrhea
Isolated adenomyotic cyst associated with severe dysmenorrhea
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DOI：
10.1111/j.1447-0756.2007.00543.x
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发表时间：
2007-06-01
影响因子：
1.6
通讯作者：
Douchi, Tsutomu
中科院分区：
文献类型：
--
作者：
Kamio, Masaki;Taguchi, Shuuhei;Douchi, Tsutomu
一个23岁的未经产的女性病例，患有一个非常罕见的孤立性子宫腺肌囊肿，引起严重的痛经。经阴道超声断层扫描和磁共振成像（MRI）显示子宫体左前壁内有一个3 x 3 cm的囊性肿块。T1加权像上囊腔内充满高信号液体，T2加权像上右侧子宫体旁囊腔内被低信号组织包围。MRI初步诊断为残角子宫空洞。然而，子宫输卵管造影排除了子宫异常的可能。手术切除子宫体左前壁内3 cm的出血性腺肌囊肿。没有弥漫性子宫腺肌病的证据。术后痛经完全消失。
A case of a 23-year-old, nulliparous female with a very rare isolated adenomyotic cyst inducing severe dysmenorrhea was seen. Transvaginal ultrasonographic tomography and magnetic resonance imaging (MRI) showed a 3 x 3-cm cystic mass within the left anterior wall of the uterine corpus. The cystic space was filled with hyperintense fluid on T1-weighted images, which was surrounded by hypointense tissue beside the right uterine corpus on T2-weighted images. The case was preliminarily diagnosed using MRI as having cavitated rudimentary uterine horn. However, hysterosalpingography excluded the possibility of uterine anomaly. A hemorrhagic adenomyotic cyst measuring 3 cm within the left anterior wall of the uterine corpus was surgically removed. There was no evidence of diffuse adenomyosis uteri. Dysmenorrhea completely disappeared postoperatively.