{"title":"附属腔隙子宫畸形（ACUM）病例","authors":"M Ramaswamy , Y Youssef , O Azar , P Bral","doi":"10.1016/j.jmig.2024.09.116","DOIUrl":null,"url":null,"abstract":"<div><h3>Study Objective</h3><div>The purpose of this video is to present a case of an Accessory Cavitated Uterine Malformation.</div></div><div><h3>Design</h3><div>Video footage illustrating the surgical removal of a uterine accessory cavity.</div></div><div><h3>Setting</h3><div>Tertiary referral center.</div></div><div><h3>Patients or Participants</h3><div>A 19 yo gravida 0 who presented with pelvic pain for several years, worse with menses. A pre-operative pelvic ultrasound suggested a degenerating myoma measuring 2.8cm as the cause of her pelvic pain. Pathology confirmed presence of endometrial glands within muscle cells.</div></div><div><h3>Interventions</h3><div>Robotic assisted laparoscopic removal of accessory cavity. This involved injecting diluted vasopressin to the base of the accessory mass for vasoconstriction prior to incision and dissection, and suture of defect.</div></div><div><h3>Measurements and Main Results</h3><div>Resolution of pelvic pain in the patient 2 months post-operative</div></div><div><h3>Conclusion</h3><div>Accessory Cavitated Uterine Malformation is an unclassified Mullerian anomaly of unknown true incidence. Surgical Excision can provide resolution of symptoms of pelvic pain.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"31 11","pages":"Page S28"},"PeriodicalIF":3.5000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Case of an Accessory Cavitated Uterine Malformation (ACUM)\",\"authors\":\"M Ramaswamy , Y Youssef , O Azar , P Bral\",\"doi\":\"10.1016/j.jmig.2024.09.116\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Study Objective</h3><div>The purpose of this video is to present a case of an Accessory Cavitated Uterine Malformation.</div></div><div><h3>Design</h3><div>Video footage illustrating the surgical removal of a uterine accessory cavity.</div></div><div><h3>Setting</h3><div>Tertiary referral center.</div></div><div><h3>Patients or Participants</h3><div>A 19 yo gravida 0 who presented with pelvic pain for several years, worse with menses. A pre-operative pelvic ultrasound suggested a degenerating myoma measuring 2.8cm as the cause of her pelvic pain. Pathology confirmed presence of endometrial glands within muscle cells.</div></div><div><h3>Interventions</h3><div>Robotic assisted laparoscopic removal of accessory cavity. This involved injecting diluted vasopressin to the base of the accessory mass for vasoconstriction prior to incision and dissection, and suture of defect.</div></div><div><h3>Measurements and Main Results</h3><div>Resolution of pelvic pain in the patient 2 months post-operative</div></div><div><h3>Conclusion</h3><div>Accessory Cavitated Uterine Malformation is an unclassified Mullerian anomaly of unknown true incidence. Surgical Excision can provide resolution of symptoms of pelvic pain.</div></div>\",\"PeriodicalId\":16397,\"journal\":{\"name\":\"Journal of minimally invasive gynecology\",\"volume\":\"31 11\",\"pages\":\"Page S28\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of minimally invasive gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1553465024005247\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of minimally invasive gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1553465024005247","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Case of an Accessory Cavitated Uterine Malformation (ACUM)
Study Objective
The purpose of this video is to present a case of an Accessory Cavitated Uterine Malformation.
Design
Video footage illustrating the surgical removal of a uterine accessory cavity.
Setting
Tertiary referral center.
Patients or Participants
A 19 yo gravida 0 who presented with pelvic pain for several years, worse with menses. A pre-operative pelvic ultrasound suggested a degenerating myoma measuring 2.8cm as the cause of her pelvic pain. Pathology confirmed presence of endometrial glands within muscle cells.
Interventions
Robotic assisted laparoscopic removal of accessory cavity. This involved injecting diluted vasopressin to the base of the accessory mass for vasoconstriction prior to incision and dissection, and suture of defect.
Measurements and Main Results
Resolution of pelvic pain in the patient 2 months post-operative
Conclusion
Accessory Cavitated Uterine Malformation is an unclassified Mullerian anomaly of unknown true incidence. Surgical Excision can provide resolution of symptoms of pelvic pain.
期刊介绍：
The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.
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