Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly

Context Accessory cavitated uterine mass (ACUM) is an uncommon and under-recognized entity with distinct imaging characteristics and causing significant patient distress. Differentiating it from its other clinical and radiological differentials is therefore extremely important and prevents delay in...

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Autores principales:	Tharani Putta, Reetu John, Betty Simon, Kirthi Sathyakumar, Anuradha Chandramohan, Anu Eapen
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	uterine cavity acum cavitated uterine mass cystic adenomyoma noncommunicating uterine horn Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/e78667fd10fa4800b940edd81852b6fb
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spelling	oai:doaj.org-article:e78667fd10fa4800b940edd81852b6fb2021-11-13T23:32:30ZImaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly0971-30261998-380810.1055/s-0041-1735504https://doaj.org/article/e78667fd10fa4800b940edd81852b6fb2021-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735504https://doaj.org/toc/0971-3026https://doaj.org/toc/1998-3808Context Accessory cavitated uterine mass (ACUM) is an uncommon and under-recognized entity with distinct imaging characteristics and causing significant patient distress. Differentiating it from its other clinical and radiological differentials is therefore extremely important and prevents delay in surgical management which is the treatment of choice. Aims The aim of the study is to describe the MRI appearance of the surgically and pathologically proven ACUM cases from our institution in the last 2 years. Settings and Design This is a retrospective study in a tertiary care hospital in South India. Methods and Material We reviewed the clinical presentations and imaging findings of seven surgically proven cases of ACUM qualifying the proposed diagnostic criteria. Results All patients presented with chronic pelvic pain, dysmenorrhea, and prolonged post-menstrual pain. MRI in all seven cases showed an intramural, noncommunicating, and cavitating lesion near the uterine cornua with internal contents similar to that of endometrioma. Although the cavity was lined by endometrium in all the cases (proven in pathology), it was well appreciable on MRI in only five cases. The rest of the uterine myometrium and main endometrial cavity were normal with no features of adenomyosis. Conclusion MRI is a reliable diagnostic tool for accurate diagnosis of ACUM, and more importantly, in distinguishing it from other causes of chronic pelvic pain like adenomyosis and endometriosis and other imaging differentials like adenomyoma, noncommunicating uterine horn, and degenerating leiomyoma.Tharani PuttaReetu JohnBetty SimonKirthi SathyakumarAnuradha ChandramohanAnu EapenThieme Medical and Scientific Publishers Pvt. Ltd.articleuterine cavityacumcavitated uterine masscystic adenomyomanoncommunicating uterine hornMedical physics. Medical radiology. Nuclear medicineR895-920ENIndian Journal of Radiology and Imaging, Vol 31, Iss 03, Pp 545-550 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	uterine cavity acum cavitated uterine mass cystic adenomyoma noncommunicating uterine horn Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	uterine cavity acum cavitated uterine mass cystic adenomyoma noncommunicating uterine horn Medical physics. Medical radiology. Nuclear medicine R895-920 Tharani Putta Reetu John Betty Simon Kirthi Sathyakumar Anuradha Chandramohan Anu Eapen Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly
description	Context Accessory cavitated uterine mass (ACUM) is an uncommon and under-recognized entity with distinct imaging characteristics and causing significant patient distress. Differentiating it from its other clinical and radiological differentials is therefore extremely important and prevents delay in surgical management which is the treatment of choice. Aims The aim of the study is to describe the MRI appearance of the surgically and pathologically proven ACUM cases from our institution in the last 2 years. Settings and Design This is a retrospective study in a tertiary care hospital in South India. Methods and Material We reviewed the clinical presentations and imaging findings of seven surgically proven cases of ACUM qualifying the proposed diagnostic criteria. Results All patients presented with chronic pelvic pain, dysmenorrhea, and prolonged post-menstrual pain. MRI in all seven cases showed an intramural, noncommunicating, and cavitating lesion near the uterine cornua with internal contents similar to that of endometrioma. Although the cavity was lined by endometrium in all the cases (proven in pathology), it was well appreciable on MRI in only five cases. The rest of the uterine myometrium and main endometrial cavity were normal with no features of adenomyosis. Conclusion MRI is a reliable diagnostic tool for accurate diagnosis of ACUM, and more importantly, in distinguishing it from other causes of chronic pelvic pain like adenomyosis and endometriosis and other imaging differentials like adenomyoma, noncommunicating uterine horn, and degenerating leiomyoma.
format	article
author	Tharani Putta Reetu John Betty Simon Kirthi Sathyakumar Anuradha Chandramohan Anu Eapen
author_facet	Tharani Putta Reetu John Betty Simon Kirthi Sathyakumar Anuradha Chandramohan Anu Eapen
author_sort	Tharani Putta
title	Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly
title_short	Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly
title_full	Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly
title_fullStr	Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly
title_full_unstemmed	Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly
title_sort	imaging manifestations of accessory cavitated uterine mass—a rare mullerian anomaly
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/e78667fd10fa4800b940edd81852b6fb
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Imaging Manifestations of Accessory Cavitated Uterine Mass—A Rare Mullerian Anomaly

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