A case of uterine cystic adenomyoma managed by laparoscopic surgery

A case of uterine cystic adenomyoma managed by laparoscopic surgery is reported. A 27-year-old unmarried woman complained of severe right lower abdominal pain and lumbago. Transvaginal ultrasonographic and magnetic resonance imaging examination showed the 3-cm well-defined mass with a cystic cavity. On hysterosalpingography, the uterine cavity was normal in shape, and the bilateral tubes were attached at the cornual end of the both uterine horn. These findings suggested that she had an isolated uterine adenomyoma rather than non-communicating rudimentary uterine horn. Therefore, laparoscopic resection of the lesion was performed. On histologic examination of the excised tissue, the diagnosis of cystic adenomyoma was confirmed. Her post-operative course was uneventful. Postoperatively, she did not experience abdominal pain and lumbago.