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Accessory uterine cavities: a review of cases and an appeal for standard terminology.
Fertil Steril
January 2025
Department of Gynaecology, Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia.
Objective: To study and address the diagnostic, management, and classification challenges of unilocular myometrial cystic lesions adjacent to a normal uterine cavity.
Design: Describe 23 further cases, and undertake a systematic review using Medline, PubMed and Ovid for similar lesions.
Subjects: 23 cases of accessory uterine cavities presenting to pediatric and adolescent gynecologists in Australia and New Zealand.
[Chinese expert consensus on diagnosis management of accessory cavitated uterine malformation].
Zhonghua Fu Chan Ke Za Zhi
September 2024
Multimodality imaging of acute gynecological emergencies-a pictorial essay.
Abdom Radiol (NY)
November 2024
Department of Obstetrics & Gynaecology, PGIMER, Chandigarh, India.
Article Synopsis
- Gynecological emergencies present with various non-specific symptoms, complicating diagnosis, and can be categorized into uterine and adnexal pathologies.
- Uterine issues may include conditions like blood accumulation, abnormal bleeding, or complications from fibroids, while adnexal issues may involve ectopic pregnancies, ovarian cysts, and tubo-ovarian abscesses.
- The article emphasizes the role of multimodal imaging techniques—particularly ultrasound as the first line, followed by CT and MRI—to enhance diagnostic accuracy for acute gynecological issues.
Successful treatment of a rare giant accessory cavitated uterine mass: a case report.
J Int Med Res
May 2024
Department of Ultrasound, Chongqing Traditional Chinese Medicine Hospital, Chongqing Traditional Chinese Medicine Academy, Chongqing, China.
An accessory cavitated uterine mass (ACUM) is a very rare obstructive genital malformation characterized by pelvic pain and severe dysmenorrhea. It is easily mistaken for other obstructive genital malformations in women, such as cystic uterine adenomyosis or cystic degeneration of uterine fibroids. This case report describes a 30-year-old patient with a huge uterine cornual mass.
View Article and Find Full Text PDFAccessory cavitated uterine malformation (ACUM): A scoping review.
Acta Obstet Gynecol Scand
June 2024
Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
Introduction: Accessory cavitated uterine malformation (ACUM) is a relatively recent term used to describe a noncommunicating, accessory uterine cavity. ACUM have been published under different terms ranging from juvenile cystic adenomyosis to "uterus-like mass". The objective of this study was to systematically identify all cases of ACUM and definitions described in the literature, regardless of label, and identify morphological, epidemiological, and clinical characteristics as well as management, while also highlighting knowledge gaps.
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