Accessory cavitated uterine mass presenting as refractory dysmenorrhoea: a diagnostic challenge.

Authors

Heena N Rajput, Kishor P Chauhan, Shruti Ashvinbhai Naria, Sweta S Shrivastava

Published in

BMJ case reports. Volume 19. Issue 9. Sep 24, 2026. Epub Sep 24, 2026.

Abstract

A woman in her 20s presented with severe progressive dysmenorrhoea that began within 1-2 years of menarche, was refractory to medical therapy and required repeated emergency department visits for parenteral analgesia. Ultrasonography suggested a uterine leiomyoma, whereas MRI demonstrated a unilateral haemorrhagic cavitated intramyometrial lesion without communication with the endometrial cavity, raising suspicion for a non-communicating Müllerian anomaly. Diagnostic laparoscopy revealed a small cavitated intramyometrial mass beneath the right round ligament with minimal pelvic endometriosis. Complete laparoscopic excision was performed while preserving the endometrial cavity. Histopathological examination confirmed an accessory cavitated uterine mass. The patient experienced complete resolution of dysmenorrhoea and remained asymptomatic at 6-month follow-up.

PMID:
42785780
Bibliographic data and abstract were imported from PubMed on 25 Sep 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.