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Radiofrequency ablation for cystic adenomyosis: a case report
Eiji Ryo1, Shigeki Takeshita, Masahiro Shiba
1Department of Obstetrics and Gynecology, Teikyo University, School of Medicine, Kaga, Itabashi-ku, Tokyo, Japan. yonchi@med.teikyo-u.ac.jp
Background:
Cystic adenomyosis is an uncommon feature of adenomyosis, and women with the disease usually undergo laparotomy. We treated a case of cystic adenomyosis with radiofrequency ablation.
Case:
A 21-year-old woman had severe dysmenorrhea supposedly caused by cystic adenomyosis. Under general anesthesia and ultrasound guidance, a radiofrequency needle was inserted into the cyst through the cervix, and the cyst was ablated. The procedures took about 15 minutes, with no complications. Lower abdominal pain and a high fever occurred 3 days later but disappeared soon after necrotic tissue was discharged. The cystic lesion disappeared, and the severity of the dysmenorrhea decreased by one-third as compared with that before the ablation.
Conclusion:
This was the first case of cystic adenomyosis treated with radiofrequency ablation.
