Case report demonstrates diagnosis and laparoscopic resection of an accessory and cavitated uterine mass in a 49-year-old woman, suggesting unique surgical implications.
Key Points
To present a rare case of an accessory and cavitated uterine mass (ACUM) diagnosed in a perimenopausal woman.
49-year-old nulliparous woman with abnormal uterine bleeding and pelvic pain.
Diagnostic imaging included transabdominal and transvaginal ultrasonography and MRI.
Laparoscopic resection of the accessory mass was performed for histological examination.
The detected mass measured 36x24x38 mm on MRI and was iso-intense to the myometrium.
Histology confirmed a cavitated mass lined by functional endometrium with smooth muscle around it.
ACUM was identified as a rare congenital Mullerian anomaly with specific diagnostic criteria.
Cite This Study
Pritika Gnanasekaran (2026) studied this question.