Case report: Accessory cavitated uterine malformation: A diagnostic dilemma

Accessory cavitated uterine malformation (ACUM) is a commonly misdiagnosed Mullerian anomaly characterized by the presence of a cavitated, well circumscribed lesion in an otherwise normal uterus showing presence of endometrial gland and stromal components. Commonly presenting as recurrent abdominal...

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Main Authors: Karma Tenzing Bhutia, Ruchi Gupta, Ragunath Ponnusamy
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325006661
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author Karma Tenzing Bhutia
Ruchi Gupta
Ragunath Ponnusamy
author_facet Karma Tenzing Bhutia
Ruchi Gupta
Ragunath Ponnusamy
author_sort Karma Tenzing Bhutia
collection DOAJ
description Accessory cavitated uterine malformation (ACUM) is a commonly misdiagnosed Mullerian anomaly characterized by the presence of a cavitated, well circumscribed lesion in an otherwise normal uterus showing presence of endometrial gland and stromal components. Commonly presenting as recurrent abdominal pain with dysmenorrhea in young females, their management is often delayed due to misdiagnosis on imaging. Here, we present the case of Accessory cavitated uterine malformation (ACUM) in a 21-year-old nulliparous female presenting with complaints of chronic abdominal pain with periodic dysmenorrhea who was managed with laparotomic excision of the cavity.
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spelling doaj-art-f00a35071ec740f6b1f05bc9fdb6f2fc2025-08-20T03:58:36ZengElsevierRadiology Case Reports1930-04332025-10-0120105229523210.1016/j.radcr.2025.06.120Case report: Accessory cavitated uterine malformation: A diagnostic dilemmaKarma Tenzing Bhutia0Ruchi Gupta1Ragunath Ponnusamy2Corresponding author.; Department of Radiodiagnosis, Indira Gandhi Institute of Medical Sciences, Patna, 800014, IndiaDepartment of Radiodiagnosis, Indira Gandhi Institute of Medical Sciences, Patna, 800014, IndiaDepartment of Radiodiagnosis, Indira Gandhi Institute of Medical Sciences, Patna, 800014, IndiaAccessory cavitated uterine malformation (ACUM) is a commonly misdiagnosed Mullerian anomaly characterized by the presence of a cavitated, well circumscribed lesion in an otherwise normal uterus showing presence of endometrial gland and stromal components. Commonly presenting as recurrent abdominal pain with dysmenorrhea in young females, their management is often delayed due to misdiagnosis on imaging. Here, we present the case of Accessory cavitated uterine malformation (ACUM) in a 21-year-old nulliparous female presenting with complaints of chronic abdominal pain with periodic dysmenorrhea who was managed with laparotomic excision of the cavity.http://www.sciencedirect.com/science/article/pii/S1930043325006661Accessory cavitated uterine malformationMullerian anomaliesCyclical dysmenorrheaACUMMRIAccessory uterine horn
spellingShingle Karma Tenzing Bhutia
Ruchi Gupta
Ragunath Ponnusamy
Case report: Accessory cavitated uterine malformation: A diagnostic dilemma
Radiology Case Reports
Accessory cavitated uterine malformation
Mullerian anomalies
Cyclical dysmenorrhea
ACUM
MRI
Accessory uterine horn
title Case report: Accessory cavitated uterine malformation: A diagnostic dilemma
title_full Case report: Accessory cavitated uterine malformation: A diagnostic dilemma
title_fullStr Case report: Accessory cavitated uterine malformation: A diagnostic dilemma
title_full_unstemmed Case report: Accessory cavitated uterine malformation: A diagnostic dilemma
title_short Case report: Accessory cavitated uterine malformation: A diagnostic dilemma
title_sort case report accessory cavitated uterine malformation a diagnostic dilemma
topic Accessory cavitated uterine malformation
Mullerian anomalies
Cyclical dysmenorrhea
ACUM
MRI
Accessory uterine horn
url http://www.sciencedirect.com/science/article/pii/S1930043325006661
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