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Imaging features of accessory cavitated uterine mass (ACUM): a peculiar yet correctable cause of dysmenorrhea

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Abstract

Accessory cavitated uterine mass (ACUM) is a rare form of developmental mullerian anomaly which causes chronic pelvic pain, dysmenorrhea and infertility in young females. It is a non-communicating, accessory cavity within an otherwise normal uterus, lined by functional endometrium and surrounded by myometrium-like smooth muscle cells which imparts it uterus-like appearance. USG and MRI are the imaging modalities which help in reaching the diagnosis. Knowledge of this entity and awareness of its imaging features can help diagnose this often underdiagnosed and surgically correctable cause of dysmenorrhea.

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Authors and Affiliations

  1. Department of Radiodiagnosis and Interventional Radiology, AIIMS, New Delhi, 110029, India

    Shivani Gupta, Smita Manchanda & Surabhi Vyas

  2. Department of Obstetrics and Gynecology, AIIMS, New Delhi, 110029, India

    Neena Malhotra & Vidushi Kulshrestha

  3. Department of Pathology, AIIMS, Ansari Nagar, New Delhi, 110029, India

    Sandeep R. Mathur

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  1. Shivani Gupta
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  2. Smita Manchanda
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  3. Surabhi Vyas
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  4. Neena Malhotra
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  5. Sandeep R. Mathur
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  6. Vidushi Kulshrestha
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Contributions

SG: Literature search, manuscript preparation. SM: Conception and design of work, manuscript preparation and editing. SV, NM, SRM, VK: Manuscript—editing. All authors read and approved the final manuscript.

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Correspondence to Smita Manchanda.

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Gupta, S., Manchanda, S., Vyas, S. et al. Imaging features of accessory cavitated uterine mass (ACUM): a peculiar yet correctable cause of dysmenorrhea. Abdom Radiol 48, 1100–1106 (2023). https://doi.org/10.1007/s00261-022-03790-0

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  • DOI: https://doi.org/10.1007/s00261-022-03790-0

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