AUTHOR=Hu Qicai , Guo Chunlei , Chen Qing , Zhang Wei , Wang Huifang , Wei Weixia TITLE=ACUM, an easily underdiagnosed cause of dysmenorrhea—A case report JOURNAL=Frontiers in Medicine VOLUME=11 YEAR=2024 URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1308299 DOI=10.3389/fmed.2024.1308299 ISSN=2296-858X ABSTRACT=

This report described three cases with long-term severe dysmenorrhea, and these cases were referred to our department for medical help. The diagnosis of accessory cavitated uterine malformation (ACUM) was considered based on symptoms and ultrasound/MRI findings. Moreover, a combined approach involving hysteroscopic surgery and laparoscopic surgery was undertaken, and no complications occurred during surgery and in the post-operative period. It is important to consider ACUM in patients with severe dysmenorrhea that does not respond to medical management. Surgery is the most effective treatment for this anomaly.