Laparoscopic resection of cystic adenomyosis in a teenager

Whereas diffuse adenomyosis is a common finding in parous women, cystic adenomyosis causing severe dysmenorrhoea is very rarely reported and possibly under-diagnosed, particularly in adolescents. We report a case of juvenile cystic adenomyosis in a 19-year-old nulliparous patient presenting with secondary dysmenorrhoea and non-cyclical pain. A 20mm adenomyotic cyst embedded in the in the anterior fundal myometrium of a bicornuate uterus was successfully excised laparoscopically by modified myomectomy. Preoperative differential diagnoses included uterine myoma, unicornuate uterus with non-connecting rudimentary u…