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BACKGROUND A cystic lesion arising from the myometrium of the uterus, termed as cystic adenomyosis, has chocolate-like, thick viscous contents and contains various amounts of endometrial stroma below the glandular epithelium. It is an extremely rare type of adenomyosis.CASE SUMMARY Herein, we report an unusual case of a giant cystic mass in the pelvic cavity after uterine myomectomy. The patient complained of abnormal uterine bleeding and severe dysmenorrhea. After a levonorgestrel-containing intrauterine device(LNG-IUD) was inserted, her symptoms were greatly alleviated. However, the LNG-IUD was detected in the cystic cavity during the follow-up. For fear of the intrauterine device migrating into and damaging the surrounding viscera,surgical treatment was proposed. Therefore, laparoscopic resection of the lesion and removal of the LNG-IUD were performed and cystic adenomyosis with an LNG-IUD out of the uterine cavity was diagnosed.CONCLUSION We believe that myomectomy breaking through the endometrial cavity may have been a predisposing factor for the development of cystic adenomyosis in this case.
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篇名 Giant exophytic cystic adenomyosis with a levonorgestrel containing intrauterine device out of the uterine cavity after uterine myomectomy: A case report
来源期刊 世界临床病例杂志 学科 医学
关键词 CYSTIC ADENOMYOSIS DYSMENORRHEA LEVONORGESTREL CONTAINING intrauterine device MYOMECTOMY Case report
年,卷(期) 2020,(1) 所属期刊栏目
研究方向 页码范围 188-193
页数 6页 分类号 R73
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节点文献
CYSTIC
ADENOMYOSIS
DYSMENORRHEA
LEVONORGESTREL
CONTAINING
intrauterine
device
MYOMECTOMY
Case
report
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研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界临床病例杂志
半月刊
2307-8960
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
433
总下载数(次)
1
总被引数(次)
0
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