Unraveling Cystic Adenomyosis: Diagnostic Odyssey and Surgical Resolution in a Multiparous Woman

Bhupinder Deep Kaur, Parneet Kaur, Manmeet Kaur, Mandeep Kaur
Journal of mid-life health · 2024 · vol. 15(4) , pp. 302–305 · doi:10.4103/jmh.jmh_143_24 · PMID:39959731 · W4406045257
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case study details the diagnostic challenges and successful surgical resolution of cystic adenomyosis, a rare uterine condition, in a multiparous woman experiencing severe symptoms.

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Abstract

Cystic adenomyosis, a rare variant of adenomyosis, poses diagnostic challenges due to its resemblance to other uterine pathologies. We present the case of a 37-year-old multiparous woman with a history of cesarean sections, who presented with heavy menstrual bleeding and progressive pelvic pain. Despite initial medical management, symptoms persisted, prompting further investigation. Ultrasonography initially suggested fibroid degeneration or a neoplastic change, later confirmed by magnetic resonance imaging which showed degenerative changes in fibroid. However, worsening symptoms and failed medical management led to surgical intervention. The patient underwent a total abdominal hysterectomy, revealing cystic spaces filled with altered blood within the myometrium. Histopathological analysis postsurgery confirmed the diagnosis of cystic adenomyosis. This case highlights the diagnostic challenges and therapeutic considerations in managing cystic adenomyosis in multiparous women.

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Condition tags

adenomyosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (13)

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