A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video

A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video

Background: Juvenile cystic adenomyosis (JCA) is a rare uterine lesion. We present the case of a young woman who was diagnosed with JCA and subsequently managed with laparoscopic cyst removal with sharp and blunt dissection. Moreover, we provide a literature review and a surgical video. Case: A 22-y...

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Main Authors: Masafumi Katakura, Yukiko Katagiri, Kuniaki Ota, Takafumi Mukai, Kentaro Nakaoka, Toshimitsu Maemura, Mineto Morita
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Endocrines
Subjects:
juvenile cystic adenomyosis
laparoscopic adenomyomectomy
scissors forceps
Online Access:https://www.mdpi.com/2673-396X/2/3/26
id doaj-e6b5b5551b994c91964d4418f173f9f7
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spelling doaj-e6b5b5551b994c91964d4418f173f9f72021-09-26T00:04:02ZengMDPI AGEndocrines2673-396X2021-08-0122628429210.3390/endocrines2030026A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical VideoMasafumi Katakura0Yukiko Katagiri1Kuniaki Ota2Takafumi Mukai3Kentaro Nakaoka4Toshimitsu Maemura5Mineto Morita6Obstetrics and Gynecology, School of Medicine, Toho University, Tokyo 143-8541, JapanObstetrics and Gynecology, School of Medicine, Toho University, Tokyo 143-8541, JapanObstetrics and Gynecology, School of Medicine, Toho University, Tokyo 143-8541, JapanObstetrics and Gynecology, School of Medicine, Toho University, Tokyo 143-8541, JapanObstetrics and Gynecology, School of Medicine, Toho University, Tokyo 143-8541, JapanObstetrics and Gynecology, School of Medicine, Toho University, Tokyo 143-8541, JapanObstetrics and Gynecology, School of Medicine, Toho University, Tokyo 143-8541, JapanBackground: Juvenile cystic adenomyosis (JCA) is a rare uterine lesion. We present the case of a young woman who was diagnosed with JCA and subsequently managed with laparoscopic cyst removal with sharp and blunt dissection. Moreover, we provide a literature review and a surgical video. Case: A 22-year-old nulliparous woman presented with severe dysmenorrhea and was assessed using contrast-enhanced abdominal computed tomography, transvaginal ultrasonography and pelvic magnetic resonance imaging, and diagnosed with a cystic lesion on the left side of the myometrium. She underwent laparoscopic cyst excision and uterine reconstruction. Histology was suggestive of JCA. The dysmenorrhea resolved postoperatively. Conclusion: Surgical resection is the first choice of treatment for cystic adenomyosis, and a laparoscopic approach using scissor forceps is effective.https://www.mdpi.com/2673-396X/2/3/26juvenile cystic adenomyosislaparoscopic adenomyomectomyscissors forceps
collection DOAJ
language English
format Article
sources DOAJ
author Masafumi Katakura
Yukiko Katagiri
Kuniaki Ota
Takafumi Mukai
Kentaro Nakaoka
Toshimitsu Maemura
Mineto Morita
spellingShingle Masafumi Katakura
Yukiko Katagiri
Kuniaki Ota
Takafumi Mukai
Kentaro Nakaoka
Toshimitsu Maemura
Mineto Morita
A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video
Endocrines
juvenile cystic adenomyosis
laparoscopic adenomyomectomy
scissors forceps
author_facet Masafumi Katakura
Yukiko Katagiri
Kuniaki Ota
Takafumi Mukai
Kentaro Nakaoka
Toshimitsu Maemura
Mineto Morita
author_sort Masafumi Katakura
title A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video
title_short A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video
title_full A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video
title_fullStr A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video
title_full_unstemmed A Feasible Technique in Laparoscopic Excision for Juvenile Cystic Adenomyosis: A Case Report, Literature Review, and Surgical Video
title_sort feasible technique in laparoscopic excision for juvenile cystic adenomyosis: a case report, literature review, and surgical video
publisher MDPI AG
series Endocrines
issn 2673-396X
publishDate 2021-08-01
description Background: Juvenile cystic adenomyosis (JCA) is a rare uterine lesion. We present the case of a young woman who was diagnosed with JCA and subsequently managed with laparoscopic cyst removal with sharp and blunt dissection. Moreover, we provide a literature review and a surgical video. Case: A 22-year-old nulliparous woman presented with severe dysmenorrhea and was assessed using contrast-enhanced abdominal computed tomography, transvaginal ultrasonography and pelvic magnetic resonance imaging, and diagnosed with a cystic lesion on the left side of the myometrium. She underwent laparoscopic cyst excision and uterine reconstruction. Histology was suggestive of JCA. The dysmenorrhea resolved postoperatively. Conclusion: Surgical resection is the first choice of treatment for cystic adenomyosis, and a laparoscopic approach using scissor forceps is effective.
topic juvenile cystic adenomyosis
laparoscopic adenomyomectomy
scissors forceps
url https://www.mdpi.com/2673-396X/2/3/26
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