Case of an Accessory Cavitated Uterine Malformation (ACUM)

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2024-11-01 DOI:10.1016/j.jmig.2024.09.116

M Ramaswamy , Y Youssef , O Azar , P Bral

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引用次数: 0

Abstract

Study Objective

The purpose of this video is to present a case of an Accessory Cavitated Uterine Malformation.

Design

Video footage illustrating the surgical removal of a uterine accessory cavity.

Setting

Tertiary referral center.

Patients or Participants

A 19 yo gravida 0 who presented with pelvic pain for several years, worse with menses. A pre-operative pelvic ultrasound suggested a degenerating myoma measuring 2.8cm as the cause of her pelvic pain. Pathology confirmed presence of endometrial glands within muscle cells.

Interventions

Robotic assisted laparoscopic removal of accessory cavity. This involved injecting diluted vasopressin to the base of the accessory mass for vasoconstriction prior to incision and dissection, and suture of defect.

Measurements and Main Results

Resolution of pelvic pain in the patient 2 months post-operative

Conclusion

Accessory Cavitated Uterine Malformation is an unclassified Mullerian anomaly of unknown true incidence. Surgical Excision can provide resolution of symptoms of pelvic pain.

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附属腔隙子宫畸形（ACUM）病例

研究目的本视频旨在介绍一例子宫附件空腔畸形病例。设计视频展示了子宫附件空腔的手术切除过程。设置三级转诊中心。患者或参与者一名 19 岁的 0 型孕妇，数年来一直感到盆腔疼痛，经期时疼痛加剧。术前盆腔超声检查显示，她的盆腔疼痛是由一个2.8厘米的退化肌瘤引起的。病理证实，在肌细胞内存在子宫内膜腺体。干预措施机器人辅助腹腔镜切除附件腔。测量和主要结果患者术后 2 个月盆腔疼痛缓解结论附件空腔子宫畸形是一种未分类的穆勒氏畸形，真实发病率未知。手术切除可缓解盆腔疼痛症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.