Accessory Caveatted Uterine Mass: A Case Report

Abstract

Accessory caveatted uterine mass (ACUM) represents a new verity of mullein anomaly that is usually located at the level of insertion of round ligament and is probably related to a dysfunction of female Gebrnaculum. ACUM is described in literature as an accessory isolated caveatted uterine mass which is lined by endometrium but with no communication to normal uterine cavity. Usually it protrudes from a normally shaped and functional uterus and mostly is located on lateral uterine wall below the insertion of round ligament. Till now this condition is not included in ESHRE Classification system and because of this it is not so commonly diagnosed, these patients are usually presented with severe dysmenorrhea and chronic pelvic pain and some report showed coincidence of ACUM and endome-triosis in 5-6%of patients which are usually less than 30 years old [1]. ACUM needs to be differentiated from other similar conditions such as 1. Rudimentary and caveatted uterine horns 2. Adeno-myosis with cystic or degenerated areas. 3. Essential and primary dysmenorrhea. 4. Degenerated fibroids. So proper diagnosis and raised awareness of ACUM can leads to earlier access to treatment.