A case of uterine cystic adenomyosis treated with laparoscopic enucleation

Abstract

  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.