Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2019; 7(5): 676-683
Published online Mar 6, 2019. doi: 10.12998/wjcc.v7.i5.676
Intrauterine cystic adenomyosis: Report of two cases
Yan-Yan Fan, Yi-Nan Liu, Jia Li, Yan Fu
Yan-Yan Fan, Jia Li, Yan Fu, Department of Obstetrics and Gynecology, the First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Yi-Nan Liu, Department of Otorhinolaryngology, Jilin Province FAW General Hospital, Changchun 130011, Jilin Province, China
Author contributions: Fan YY, Liu YN, Li J, and Fu Y participated in the diagnosis and management of this case; Fan YY wrote the manuscript; Fu Y revised the manuscript; all authors read and approved the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared according to CARE checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yan Fu, MD, Chief Doctor, Department of Obstetrics and Gynecology, the First Hospital of Jilin University, No. 71, Xinmin Street, Changchun 130021, Jilin Province, China. yanfudoc@163.com
Telephone: +86-431-81875228 Fax: +86-431-81875228
Received: June 20, 2018
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
Abstract
BACKGROUND

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.

CASE SUMMARY

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.

CONCLUSION

Intrauterine cystic adenomyosis could be diagnosed by pathological examination and treated by hysterectomy or hystscopy to release the liquid inside.

Keywords: Cystic adenomyosis, Adenomyosis, Junctional zone, Intrauterine, Case report

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.