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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2014; 24(02): 178-181
DOI: 10.4103/0971-3026.134411
Abdominal Radiology

Imaging diagnosis of accessory and cavitated uterine mass, a rare mullerian anomaly

Nishchint Jain
Department of Radiology, Post Graduate Institute of Medical Education and Research, Dr. RML Hospital, New Delhi, India
,
Ritu Verma
Department of Radiology, Post Graduate Institute of Medical Education and Research, Dr. RML Hospital, New Delhi, India
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Abstract

Accessory and Cavitated Uterine Mass (ACUM) is a rare form of developmental Mullerian anomaly seen in young females, which presents as chronic recurrent pelvic pain and severe dysmenorrhea. It is an accessory cavity lying within an otherwise normal uterus. It is lined by functional endometrium and surrounded by myometrium-like smooth muscle cells; hence, it bears striking macroscopic and microscopic resemblance to the uterus. Hysterosalpingography (HSG), Ultrasonography (USG), and Magnetic Resonance Imaging (MRI) form the mainstay of diagnostic imaging. The entity is often under diagnosed; therefore, a high index of suspicion combined with HSG and MRI imaging can help in making an accurate diagnosis.

Keywords

Accessory and cavitated uterine mass - juvenile cystic adenomyoma - mullerian anomalies - unicornuate uterus - uterus-like mass


Publication History

Article published online:
02 August 2021

© 2014. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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