Ultrasound of accessory and cavitated uterine mass (ACUM): clinical cases and literature review
https://doi.org/10.24835/1607-0771-276
Abstract
The purpose of this article is a review of literature and our own experience in diagnosing of Müllerian duct anomaly – accessory and cavitated uterine mass (ACUM). The lack of uniform approach to the terminology, classification, methods of diagnosis and treatment makes this anomaly relevant for a multidisciplinary evaluation.
About the Authors
I. A. EsipovaRussian Federation
Irina A. Esipova – Cand. of Sci. (Med.), Associate Professor of the Department of Obstetrics and Gynecology named after Academician G.M. Savelyeva, Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow.
https://orcid.org/0000-0002-2130-5431
M. N. Bulanov
Russian Federation
Mikhail N. Bulanov – Doct. of Sci. (Med.), Head of Ultrasound Diagnostics Department, Regional Clinical Hospital, Vladimir; Professor, Division of Internal Medicine, Institute of Medical Education, Yaroslav-the-Wise Novgorod State University, Veliky Novgorod.
https://orcid.org/0000-0001-8295-768X
I. A. Krasnova
Russian Federation
Irina A. Krasnova – Doct. of Sci. (Med.), Professor, Professor of the Department of Obstetrics and Gynecology named after Academician G.M. Savelyeva, Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow.
https://orcid.org/0000-0002-6765-4127
References
1. Acién P., Acién M., Fernández F., Mayol M., Aranda I. The cavitated accessory uterine mass: a Müllerian anomaly in women with an otherwise normal uterus. Obstetrics and Gynecology. 2010; 116 (5):1101–1109. doi: 10.1097/AOG.0b013e3181f7e735
2. Acién P., Acién M. The presentation and management of complex female genital malformations. Human Reproduction Update. 2016; 22 (1): 48–69. doi: 10.1093/humupd/dmv048
3. Timmerman S., Stubbe L., Bosch T., Schoubroeck D., Tellum T., Froyman W. Accessory cavitated uterine malformation (ACUM): A scoping review. Acta Obstet Gynecol Scand. 2024; 00: 1–10. doi: 10.1111/aogs.14801
4. Mondal R., Bhave P. Accessory cavitated uterine malformation: Enhancing awareness about this unexplored perpetrator of dysmenorrhea. Int J Gynaecol Obstet. 2023; 162 (2): 409–432. doi: 10.1002/ijgo.14681
5. Strug M., Christmas A., Schoonover A., Romero V., Cordoba M., Leary E., Thakur M. Impact of an accessory cavitated uterine mass on fertility: case presentation and review of the literature. F&S Reports. 2023; 4 (4): 402–409. doi: 10.1016/j.xfre.2023.09.001
6. Grimbizis G., Gordts S., Sardo A., Brucker S., Angelis C., Gergolet M., Li T., Tanos V., Brölmann H., Gianaroli L., Campo R. The ESHRE-ESGE consensus on the classification of female genital tract congenital anomalies. Gynecol Surg. 2013;10 (3): 199–212. doi: 10.1007/s10397-013-0800-x
7. Pfeifer S., Attaran M., Goldstein J., Lindheim S., Petrozza J., Rackow B., Siegelman E., Troiano R., Winter T., Zuckerman A., Ramaiah S. ASRM müllerian anomalies classification 2021. Fertility and Sterility. 2021; 116 (5): 1238–1252. doi: 10.1016/j.fertnstert.2021.09.025
8. Bazot M., Daraï E. Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis. Fertility and Sterility. 2018; 109 (3): 389–397. doi: 10.1016/j.fertnstert.2018.01.024
9. Merviel P., Lelievre C., Cambier T., Thomas-Kergastel I., Dupré P. The first ethanol sclerotherapy of an accessory cavitated uterine mass. Clin Case Rep. 2020; 9 (1): 19–22. doi: 10.1002/ccr3.3371
10. Rackow B. Accessory cavitated uterine mass: a new müllerian anomaly? Fertility and Sterility. 2022; 117 (3): 649–650. doi: 10.1016/j.fertnstert.2022.01.006
11. Acién P., Acién M. Accessory and cavitated uterine mass versus juvenile cystic adenomyoma. F&S Reports. 2021; 2 (3): 357–358. doi: 10.1016/j.xfre.2021.06.006
12. Naftalin J., Bean E., Saridogan E., Barton-Smith P., Arora R., Jurkovic D. Imaging in gynecological disease (21): clinical and ultrasound characteristics of accessory cavitated uterine malformations. Ultrasound Obstetetrics and Gynecology. 2021; 57 (5): 821–828. doi: 10.1002/uog.22173
13. Takeuchi H., Kitade M., Kikuchi I., Kumakiri J., Kuroda K., Jinushi M. Diagnosis, laparoscopic management, and histopathologic findings of juvenile cystic adenomyoma: a review of nine cases. Fertility and Sterility. 2010; 94 (3): 862–868. doi: 10.1016/j.fertnstert.2009.05.010
14. Acién P., Bataller A., Fernández F., Acién M., Rodríguez J., Mayol M. New cases of accessory and cavitated uterine masses (ACUM): a significant cause of severe dysmenorrhea and recurrent pelvic pain in young women. Hum Reprod. 2012; 27 (3): 683–694. doi: 10.1093/humrep/der471
15. Dekkiche S., Dubruc E., Kanbar M., Feki A., Mueller M., Meuwly J., Mathevet P. Accessory and cavitated uterine masses: a case series and review of the literature. Frontiers in Reproductive Health. 2023; 5: 1197931. doi: 10.3389/frph.2023.1197931
16. Arya S., Burks H. Juvenile cystic adenomyoma, a rare diagnostic challenge: Case Reports and literature review. F&S Reports. 2021; 2 (2): 166–171. doi: 10.1016/j.xfre.2021.02.002
17. Mondal R., Bhave P. Accessory cavitated uterine malformation: Enhancing awareness about this unexplored perpetrator of dysmenorrhea. Int J Gynaecol Obstet. 2023; 162 (2): 409–432. doi: 10.1002/ijgo.14681
18. Macer M., Taylor H. Endometriosis and infertility: a review of the pathogenesis and treatment of endometriosis-associated infertility. Obstet Gynecol Clin North Am. 2012; 39 (4): 535-549. doi: 10.1016/j.ogc.2012.10.002
19. Ahmed A., Swan R., Owen A., Kraus F., Patrick F. Uterus-like mass arising in the broad ligament: a metaplasia or mullerian duct anomaly? Int J Gynecol Pathol. 1997; 16 (3): 279–281. doi: 10.1097/00004347-199707000-00015
20. Tokgoz V., Tekin A. A rare case of the new entity of müllerian anomalies mimicking the noncommunicating rudimentary cavity with hemi-uterus: accessory cavitated uterine mass. Fertility and Sterility. 2022; 117 (3): 646–648. doi: 10.1016/j.fertnstert.2021.11.028
21. Nishiuchi K., Uotani K., Kobayashi D., Ono Y., Yamasaki Y., Kashima Y., Nishijima M., Ueno Y., Imaoka I., Murakami T. Uterine diverticulum mimicking endometriotic cyst of the ovary. Radiol Case Rep. 2023; 19 (3): 934–938. doi: 10.1016/j.radcr.2023.11.023
22. Stockwell E. Decidualized juvenile cystic adenomyoma mimicking a cornual heterotopic pregnancy. 2021; 28 (11): 6726. doi:10.1016/j.jmig.2021.09.121
23. Takeuchi H., Kitade M., Kikuchi I., Kumakiri J., Kuroda K., Jinushi M. Diagnosis, laparoscopic management, and histopathologic findings of juvenile cystic adenomyoma: a review of nine cases. Fertility and Sterility. 2010; 94 (3): 862–868. doi: 10.1016/j.fertnstert.2009.05.010
24. Dekkiche S., Dubruc E., Kanbar M., Feki A., Mueller M., Meuwly J., Mathevet P. Accessory and cavitated uterine masses: a case series and review of the literature. Front Reprod Health. 2023; 5: 1197931. doi: 10.3389/frph.2023.1197931
25. Peyron N., Jacquemier E., Charlot M., Devouassoux M., Raudrant D., Golfier F., Rousset P. Accessory cavitated uterine mass: MRI features and surgical correlations of a rare but under-recognised entity. Eur Radiol. 2019; 29 (3): 1144–1152. doi: 10.1007/s00330-018-5686-6
26. Mollion M., Host A., Faller E., Garbin O., Ionescu R., Roy C. Report of two cases of Accessory Cavitated Uterine Mass (ACUM): Diagnostic challenge for MRI. Radiol Case Rep. 2021; 16 (11): 3465–3469. doi: 10.1016/j.radcr.2021.07.071
27. Rackow B. Accessory cavitated uterine mass: a new müllerian anomaly? Fertility and Sterility. 2022; 117 (3): 649–650. doi: 10.1016/j.fertnstert.2022.01.006
28. Peters A., Rindos N., Guido R., Donnellan N. Uterine-sparing Laparoscopic Resection of Accessory Cavitated Uterine Masses. J Minim Invasive Gynecol. 2018; 25 (1): 24–25. doi: 10.1016/j.jmig.2017.06.001
29. Strelec M., Banović M., Banović V., Sirovec A. Juvenile cystic adenomyoma mimicking a Mullerian uterine anomaly successfully treated by laparoscopic excision. Int J Gynaecol Obstet. 2019; 146 (2): 265–266. doi: 10.1002/ijgo.12880
30. Park J., Kim D. Successful laparoscopic surgery of accessory cavitated uterine mass in young women with severe dysmenorrhea. Yeungnam Univ J Med. 2021; 38 (3): 235–239. doi: 10.12701/yujm.2020.00696
31. Protopapas A., Kypriotis K., Chatzipapas I., Kathopoulis N., Sotiropoulou M., Michala L. Juvenile Cystic Adenomyoma vs Blind Uterine Horn: Challenges in the Diagnosis and Surgical Management. J Pediatr Adolesc Gynecol. 2020; 33 (6): 735–738. doi: 10.1016/j.jpag.2020.08.010
32. Bakshi N., Dhawan S. Extrapelvic "Uterus Like Mass" Following Laparoscopic Morcellation Hysterectomy - a Consequence of Iatrogenic Implantation? Int J Surg Pathol. 2023; 31 (5): 791–794. doi: 10.1177/10668969221133350
33. Supermaniam S., Thye W. Diagnosis and laparoscopic excision of accessory cavitated uterine mass in young women: Two case reports. Case Rep Womens Health. 2020; 26 :e00187. doi: 10.1016/j.crwh.2020.e00187
34. Strug M., Christmas A., Schoonover A., Romero V., Cordoba M., Leary E., Thakur M. Impact of an accessory cavitated uterine mass on fertility: case presentation and review of the literature. F&S Reports. 2023; 4 (4): 402–409. doi: 10.1016/j.xfre.2023.09.001
35. Hu Y., Wang A., Chen J. Diagnosis and laparoscopic excision of accessory cavitated uterine mass in a young woman: A case report. World J Clin Cases. 2021; 9 (30): 9122–9128. doi: 10.12998/wjcc.v9.i30.9122
36. Bakshi N., Dhawan S. Extrapelvic "Uterus Like Mass" Following Laparoscopic Morcellation Hysterectomy - a Consequence of Iatrogenic Implantation? Int J Surg Pathol. 2023; 31 (5): 791–794. doi: 10.1177/10668969221133350
Supplementary files
Review
For citations:
Esipova I.A., Bulanov M.N., Krasnova I.A. Ultrasound of accessory and cavitated uterine mass (ACUM): clinical cases and literature review. Ultrasound & Functional Diagnostics. 2024;(4):53-63. (In Russ.) https://doi.org/10.24835/1607-0771-276