Adenomyosis with uterine abscess formation treated by adenomyomectomy: A report of two cases

IF 1.6 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Journal of Obstetrics and Gynaecology Research Pub Date : 2024-12-12 DOI:10.1111/jog.16185
Daiki Hiratsuka, Chihiro Ishizawa, Rei Iida, Yamato Fukui, Mitsunori Matsuo, Masato Nishida, Masako Ikemura, Miyuki Harada, Osamu Wada-Hiraike, Yutaka Osuga, Yasushi Hirota
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Abstract

Uterine adenomyosis is a common disease in women of reproductive age that causes dysmenorrhea, abnormal uterine bleeding, infertility, and obstetric complications. Rarely, adenomyosis can lead to abscess formation, which is refractory to antibiotics and occasionally requires surgical treatment, such as hysterectomy. However, hysterectomy should be avoided in patients who seek to preserve fertility. Herein, for the first time, we report two cases of uterine adenomyosis with abscess formation during assisted reproductive procedures that were successfully treated with adenomyomectomy, thereby preserving fertility. A history of repeated intrauterine procedures and infections was crucial in making an appropriate preoperative diagnosis. Adenomyomectomy can be an effective treatment for adenomyosis associated with abscess in patients who wish to preserve fertility.

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子宫腺肌瘤切除术治疗子宫腺肌症合并子宫脓肿形成2例报告。
子宫腺肌症是育龄妇女的常见病,会导致痛经、异常子宫出血、不孕和产科并发症。在极少数情况下,子宫腺肌症会导致脓肿形成,而脓肿对抗生素难治,偶尔需要手术治疗,如子宫切除术。然而,对于希望保留生育能力的患者,应避免切除子宫。在此,我们首次报告了两例在辅助生殖手术中伴有脓肿形成的子宫腺肌症患者,他们都成功地接受了腺肌瘤切除术,从而保留了生育能力。反复宫腔内手术和感染的病史对于做出适当的术前诊断至关重要。对于希望保留生育能力的子宫腺肌症伴脓肿患者来说,子宫腺肌症切除术是一种有效的治疗方法。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
376
审稿时长
3-6 weeks
期刊介绍: The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.
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