Fudan University Journal of Medical Sciences

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Accessory cavitated uterine malformation: one case report and literature review

Bai-juan DING, Li-wei ZHANG, Yan-qiu WEI, Xiu-juan CUI

Fudan University Journal of Medical Sciences, 2025, 52(05): 747-751. DOI: 10.3969/j.issn.1672-8467.2025.05.018

Fig 2 Results of laparoscopic examination A: The uterus was slightly full under laparoscopy, and no obvious abnormalities were observed. A mass with a diameter of 4 cm was visible onthe right anterior wall of the uterus, located below the anterior circular ligament of the right side, and no obvious abnormalities were observed inthe bilateral accessory area. The arrow indicates the position of the mass. B: In the process of removing the mass, the chocolate liquid was found toflow out. The arrow indicates the chocolate-like liquid. C: Uterine morphology was generally normal after operation.

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Fig 1 Transvaginal ultrasonography of uterine and bilateral appendages A: The shape of uterine cavity was roughly normal, no abnormalities were found in bilateral uterine corners, and internal endometrial echo was observed, with thickness of about 12 mm; B: An uneven echo block with a size of 4.5 cm×3.9 cm was visible below the right fundal angle, with clear boundaries, regular shape and ground-glass like liquid echo.
Fig 3 Postoperative pathological examination image (HE staining×100) A: A little endometrial tissue can be seen on the surface of smooth muscle tissue. The arrow points to the endometrial gland. B: There were afew endometrial glands and stroma in the smooth muscle tissue. The arrow points to the endometrial gland.

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