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ABDOMINAL RADIOLOGY Table of Contents   
Year : 2014  |  Volume : 24  |  Issue : 2  |  Page : 178-181
Imaging diagnosis of accessory and cavitated uterine mass, a rare mullerian anomaly


Department of Radiology, Post Graduate Institute of Medical Education and Research, Dr. RML Hospital, New Delhi, India

Correspondence Address:
Nishchint Jain
Department of Radiology, Post Graduate Institute of Medical Education and Research, and Dr. RML Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.134411

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Accessory and Cavitated Uterine Mass (ACUM) is a rare form of developmental Mullerian anomaly seen in young females, which presents as chronic recurrent pelvic pain and severe dysmenorrhea. It is an accessory cavity lying within an otherwise normal uterus. It is lined by functional endometrium and surrounded by myometrium-like smooth muscle cells; hence, it bears striking macroscopic and microscopic resemblance to the uterus. Hysterosalpingography (HSG), Ultrasonography (USG), and Magnetic Resonance Imaging (MRI) form the mainstay of diagnostic imaging. The entity is often under diagnosed; therefore, a high index of suspicion combined with HSG and MRI imaging can help in making an accurate diagnosis.


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