Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2020; 8(1): 188-193
Published online Jan 6, 2020. doi: 10.12998/wjcc.v8.i1.188
Giant exophytic cystic adenomyosis with a levonorgestrel containing intrauterine device out of the uterine cavity after uterine myomectomy: A case report
Yong Zhou, Zheng-Yun Chen, Xin-Mei Zhang
Yong Zhou, Zheng-Yun Chen, Xin-Mei Zhang, Department of Gynecology, Women’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China
Author contributions: Zhang XM, Zhou Y, and Chen ZY participated in the diagnosis and management of this case; Chen ZY and Zhou Y provided the figures; Zhou Y wrote the manuscript; Zhang XM revised and approved the version to be published.
Informed consent statement: Written informed written was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the 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: Xin-Mei Zhang, PhD, Chief Doctor, Professor, Department of Gynecology, Women’s Hospital School of Medicine, Zhejiang University, No. 1, Xueshi Road, Hangzhou 310006, Zhejiang Province, China. zhangxinm@zju.edu.cn
Received: September 2, 2019
Peer-review started: September 2, 2019
First decision: November 13, 2019
Revised: November 28, 2019
Accepted: December 13, 2019
Article in press: December 13, 2019
Published online: January 6, 2020
Core Tip

Core tip: Myomectomy breaking through the endometrial cavity may be a predisposing factor for the development of adenomyosis. A Mirena may provide effective therapeutic action for any pelvic endometrial deposit in different ways. In terms of management, laparoscopic uterine-sparing intervention may be a preferable choice for exophytic cystic adenomyosis.