An accessory uterine cavity as a cause of pelvic pain
Michael P Steinkampf1, Michelle T Manning, Sejal Dharia
1Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama 35249-7333, USA. msteinkampf@uabmc.edu
Background:
Pelvic pain is a common gynecologic problem. We report a case of a noncommunicating accessory uterine cavity as a cause of pelvic pain in a young adolescent.
Case:
A 17-year-old nulligravida presented with worsening pelvic pain. Transvaginal ultrasound revealed a 3-cm cavity within the myometrium. Hysteroscopy revealed a normal uterine cavity. Surgical excision of the accessory cavity just lateral to the normal uterine cavity was achieved through laparotomy. Pathology confirmed endometrial tissue in the accessory cavity. Pelvic pain resolved after surgery.
Conclusion:
A noncommunicating uterine cavity should be considered in the differential diagnosis of pelvic pain.
Related Concept Videos
Uterus and Cervix
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs of...
Muscles of the Pelvic Floor and Perineum
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Appendicitis
Abdominal Regions and Quadrants
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
Disorders of the Female Reproductive System


