A case of uterine cystic adenomyosis treated with laparoscopic enucleation

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  • Kobayashi Orie
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Masunaga Aya
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Kurosu Hiroyuki
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Kanno Motoko
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Kikuchi Tomomi
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Yano Ryou
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Ohkawa Tomomi
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Tsukamoto Kanako
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Katsute Eriko
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Yamazaki Tatsuo
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Iwamoto Hideki
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Tamura Kazuya
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Ohta Shouji
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Kobayashi Yaeko
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital
  • Umezawa Satoshi
    Department of Obstetrices and Gynecology, Japanese Red Cross Musashino Hospital

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Other Title
  • 腹腔鏡下腫瘍切除術を施行した嚢胞性子宮腺筋症の一例

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Description

Uterine cystic adenomyosis is a relatively common disease in young women. Patients with cystic adenomyosis have severe dysmenorrhea and surgical treatment is required in most cases. A 29-year-old woman was admitted to our hospital with severe lower abdominal pain. Magnetic resonance imaging revealed features suggestive of an ovarian endometrial cyst. Hysterosalpingography revealed a normal uterine cavity and patent fallopian tubes. The patient was diagnosed with cystic adenomyosis. She was treated initially using hormone therapy with a gonadotropin releasing hormone (GnRH) agonist. This was effective; however, the symptoms recurred when the treatment was discontinued. Therefore, laparoscopic enucleation of the cystic lesion was performed, resulting in a statistically significant reduction in dysmenorrhea.

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