Juvenile cystic adenomyosis: A case report and review of the literature. Issue 4 (3rd July 2019)

• Record Type: Journal Article
• Authors: Deblaere, Lieselot; Froyman, Wouter; Van den Bosch, Thierry; Van Rompuy, Anne‐Sophie; Kaijser, Jeroen; Deprest, Jan; Timmerman, Dirk
• Is Part Of: Australasian journal of ultrasound in medicine. Volume 22:Issue 4(2019)
• Page Start: 295
• Page End: 300
• Publication Date: 2019-07-03
• Subjects: cystic adenomyosis -- dysmenorrhoea -- juvenile cystic adenomyosis -- ultrasonography -- uterine cystic lesion; Ultrasonics in medicine -- Periodicals; Ultrasonic imaging -- Periodicals; Ultrasonic imaging; Ultrasonics in medicine; Periodicals; 616.075430
• DOI: 10.1002/ajum.12171
• Languages: English
• ISSNs: 1836-6864

Abstract

Abstract: This report describes a case of a uterine cystic myometrial lesion in a 16‐year‐old adolescent girl presenting with pelvic pain and severe progressively worsening dysmenorrhoea. Patient's symptoms, ultrasound and MRI were suggestive of juvenile cystic adenomyosis (JCA). Medical treatment and alcohol sclerotherapy had a moderate and transient effect. The symptoms rapidly recurred, and the lesion was successfully excised via laparoscopic surgery. The treatment of JCA depends on patient's age, the symptoms' severity and the cyst location. Although rare, juvenile cystic adenomyosis should be considered in young women with severe dysmenorrhoea.