Related Experiment Video
Updated: Oct 3, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Pararectal aggressive angiomyxoma with bilateral ovarian endometriomas cysts: a rare case report
Nuowei Ji1, Xiangshu Kong1, Jiazhen Huang1
1Department of Gynecology and Obstetrics, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Background:
Aggressive Angiomyxoma (AAM) is a rare mesenchymal tumor characterized by local invasiveness and a high recurrence rate, often arising in the pelvis and perineum.
Case Presentation:
We report a 49-year-old woman presenting with a long-standing pelvic mass. Imaging suggested bilateral ovarian endometriomas and a deep pelvic lesion suspicious for AAM. The patient underwent total hysterectomy, bilateral adnexectomy, and complete resection of a pararectal mass via a pure transabdominal laparotomy, without any perineal incision or manipulation. Histopathology and immunohistochemistry confirmed pararectal Aggressive Angiomyxoma coexisting with bilateral ovarian endometriotic cysts.
Conclusion:
This rare combination highlights the importance of MRI in preoperative diagnosis and the challenges of surgical management for deep pelvic AAM. Complete resection and long-term follow-up are essential to reduce recurrence.
