We report the case of a 25-year-old woman who presented with severe
dysmenorrhea for more than 1 year. Physical examination showed that the uterus was enlarged. The transvaginal ultrasound showed a cystic mass of about 5.0 × 3.6 × 3.6 cm in the posterior myometrium, with dense echo spots and no blood flow signal in the cystic part. Magnetic resonance imaging (MRI) indicated
hemorrhages within the cystic mass, suggesting the possibility of uterine cystic
adenomyosis. The lower
abdominal pain and severe
dysmenorrhea were not alleviated after a 6-month trial of
oral contraceptives. Subsequently, she underwent ultrasound-guided transvaginal aspiration and
sclerotherapy for uterine cystic
adenomyosis. Approximately 90 mL of chocolate-colored fluid was aspirated from the mass and 20 mL of
lauromacrogol was injected in the
cyst. The reduction rates of the mass 3 and 12 months after the procedure were 92.01 and 99.10%, respectively. Her
dysmenorrhea completely resolved. One and half year after the operation, she had a successful pregnancy and gave birth to a healthy baby through vagina.
Conclusion: