Imaging diagnosis of accessory and cavitated uterine mass, a rare mullerian anomaly

Imaging diagnosis of accessory and cavitated uterine mass, a rare mullerian anomaly

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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 crystal beaded candle holder 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 6-0 igora vibrance diagnosed; therefore, a high index of suspicion combined with HSG and MRI imaging can help in making an accurate diagnosis.