Yonago Acta Medica
Online ISSN : 1346-8049
ISSN-L : 0513-5710
Patient Report
A Case Report of an Accessory and Cavitated Uterine Mass Treated with Total Laparoscopic Hysterectomy
Yukihiro AzumaFuminori TaniguchiHermawan WibisonoAi IkebuchiMaako MoriyamaTasuku Harada
Author information

2021 Volume 64 Issue 2 Pages 207-209


Accessory and Cavitated Uterine Mass (ACUM) is a condition defined by the presence of a non-communicating uterine mass close to the insertion of the round ligament. ACUM is a rare Müllerian anomaly found in young women and is diagnosed by the presents of a central cavity in the uterus, lined by functional endometrium, and surrounded by a ring of smooth muscle. In most cases, surgical treatment is recommended due to severe dysmenorrhea. Herein, we present a case of a woman with severe dysmenorrhea since adolescence which was not relieved with any form of hormonal treatment. ACUM was suspected preoperatively based on MRI findings, and she was treated with total laparoscopic hysterectomy. A uterine mass was found at the insertion of the right round ligament during surgery. All her symptoms improved after resection.

Content from these authors
© 2021 Tottori University Medical Press
Previous article Next article