Juvenile cystic adenomyoma (JCA) is a rare form of adenomyosis that affects women ≤30 years old, typically manifesting as severe dysmenorrhea and recurrent pelvic pain.
Case:
A 14-year-old nulligravida without significant dysmenorrhea had a uterine mass identified as a degenerating fibroid on multiple imaging studies. The mass was excised, and histopathologic examination confirmed JCA.
Results:
At 3 her months postoperative follow up, this patient had no recurrence of pain.
Conclusions:
Although JCAs rare lesions that typically present with severe dysmenorrhea, they should be considered in adolescent females presenting with noncyclic pelvic pain and uterine masses. (J GYNECOL SURG 37:352)
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