Accessory cavitated uterine malformation (ACUM): A hidden face of dysmenorrhea


Article PDF :

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Article type :

Review Article

Author :

Rana Mondal*, Priya Bhave

Volume :

9

Issue :

4

Abstract :

Background: Accessory cavitated uterine malformations, or mass (ACUM) is a Mullerian anomaly which increasingly recognized as a cause of severe dysmenorrhoea and pelvic pain. Objective: To know what ACUMs are and recognize their clinical presentation, able to diagnose an ACUM using ultrasound or MRI; and counsel patients with ACUMs on the different management options, including conservative, medical, and surgery. Conclusion and Wider Implication: ACUMs are less rare than previously believed; hence ACUM diagnosis is essential in clinically suspicious cases via ultrasound and MRI, and intra-operative assessment of uterine morphology and laparoscopic surgical excision is the definitive treatment for ACUM.

Keyword :

Accessory cavitated uterine malformations, Dysmenorrhoea, Mullerian anomaly, Dyspareunia
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