Published online Mar 6, 2019. doi: 10.12998/wjcc.v7.i5.676
Peer-review started: June 20, 2018
First decision: July 8, 2018
Revised: February 6, 2019
Accepted: February 18, 2019
Article in press: February 18, 2019
Published online: March 6, 2019
Cystic adenomyosis is a special type of adenomyosis. Its clinical manifestations lack specificity. Pelvic ultrasound and nuclear magnetic resonance imaging can help clarify the diagnosis. Because cystic uterine adenomyosis is rare in clinical work, it can be easily misdiagnosed or its diagnosis can be missed. Early surgical treatment and postoperative drug treatment can alleviate dysmenorrhea, menorrhagia, anemia, and other symptoms.
Two cases complained about abnormal vaginal bleeding and were diagnosed with intrauterine cystic adenomyosis by gynecological ultrasound and pathological examination. The clinical manifestations included dysmenorrhea, hypermenorrhea, and a history of cesarean section. Both cases underwent a surgery, and chocolate-like liquid was released from the cystic mass in the uterus and the manifestations were relieved.
Intrauterine cystic adenomyosis could be diagnosed by pathological examination and treated by hysterectomy or hystscopy to release the liquid inside.
Core tip: Because cystic uterine adenomyosis is rare in clinical work, it is easy to misdiagnose it or miss its diagnosis. We present two cases of intrauterine cystic adenomyosis that were recently treated at our department to explore its clinical features and treatment options so as to provide a reference for the early diagnosis and rational treatment of the disease.