Case Report
Accessory and Cavitated Uterine Mass-Communicating Type: A Rare Mullerian Anomaly
Background: Accessory and cavitated uterine mass (ACUM) is a rare clinical entity. Reported cases of ACUM have no communication with main uterine cavity. Here we report a case of mullerian anomaly resembling ACUM but having communication with main uterine cavity. Case Presentation: 47 year old lady presented with lower abdominal distension and pain. Radiological evaluation: large pelvic cyst suggestive of pyometra or a peritoneal cyst. Laparotomy finding: a fully developed normal uterus and a large cystic mass near the left broad ligament suggestive of a degenerating broad ligament leiomyoma. The mass was removed along with uterus. Histopathological finding: uterus showed normal morphology and the broad ligament mass showed a circumscribed cystic lesion with morphology similar to uterus with a narrow communication between two. Diagnosis: Accessory and Cavitated uterine mass- communicating type. Conclusion: ACUM is a rare Mullerian anomaly often misdiagnosed as degenerating leiomyoma or adenomyoma and so may be under reported.
