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Year : 2020  |  Volume : 7  |  Issue : 2  |  Page : 248-251

An unusual case of Mullerian anomaly: “accessory cavitated uterine mass”

Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. Sabina Sanan
MS, FNB, Sir Ganga Ram Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/fsr.fsr_50_20

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The present study presents a case report of a rare anomaly called accessory cavitated uterine mass (ACUM). The patient, 26 years old, had presented with severe dysmenorrhea which was refractory to the medical treatment. The hysteroscopic examination was normal and laparoscopic examination showed a subserosal bulge, present over anterior and lateral fundal region above the attachment of the round ligament. Chromo-pertubation was performed and dye came freely from both the tubes but not from the cavity of this uterine mass. The chocolate-colour material was drained during excision of the mass. The final histopathology report showed myometrial tissue lined by collection of hemosiderin laden macrophages as well as endometrial cuboidal lining and occasional endometrial glands.

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