Groundbreaking Medical Achievement: Successful Treatment of Adenomyosis in Non-Communicating Rudimentary Horn

Experience the groundbreaking success in treating adenomyosis in Non-Communicating Rudimentary Horn at Gurugram. A milestone achievement.

A major milestone, in the field of medicine, was achieved as doctors in Gurugram revealed on Thursday their success in treating a condition involving a half uterus, known medically as adenomyosis in a non-communicating rudimentary horn. This groundbreaking achievement represents the first of its kind, in India.

A 27-year-old woman sought medical attention due to experiencing pelvic pressure, persistent pain on the right side of her lower abdomen and pelvis, and infertility concerns. Upon clinical examination, doctors discovered a sizable firm lump, initially suspected to be a fibroid.

Due to the complexity of this aberration, meticulous dissection and extraction were required to preserve neighboring tissues such as the intestines and urinary bladder. Dr. Aruna Kalra, the hospital’s Director of Obstetrics and Gynaecology, emphasized the specific complications of the adenomyoma in the non-communicating horn. The surgical team successfully removed the adenomyoma with precise dissection, preserving the right ureter.

The rarity of a functioning non-communicating rudimentary horn, combined with adenomyosis, underscores the exceptional nature of this case. The successful treatment involved a complete robotic-assisted excision of the entire horn, resulting in a significant improvement in the patient’s condition.

The final histopathology confirmed the presence of adenomyosis in the rudimentary horn, contributing valuable insights to the limited cases reported globally. Dr. Kalra emphasized that such cases can present varying clinical symptoms, ranging from mild pain to more severe complications such as pelvic pain, endometriosis, or obstetrical issues like preterm delivery and ectopic pregnancy.

After the process, the patient was released from the hospital the following day. They are anticipated to start her path, towards fertility as stated by the medical team. This remarkable accomplishment highlights the advancements in research providing optimism to individuals dealing with uncommon and difficult circumstances.

What is Adenomyosis?

Adenomyosis is a gynecologic condition that involves the growth of endometrial tissue in the uterine wall and causes the uterus to enlarge. Adenomyosis is commonly seen in women who are over the age of 30. Adenomyosis can be localized in a spot or may affect the entire uterus. [1]

What are the Symptoms of Adenomyosis?

Symptoms of Adenomyosis include:

Severe pelvic pain
Dyspareunia (pain during sexual intercourse)
Bloating
Discomfort and sensitivity in the lower abdomen
Heavy menstrual bleeding and prolonged periods
Dysmenorrhea (painful menstruation)
Severe menstrual cramps
Potential contribution to infertility [1] [2] [3]

What are the Causes or Risk factors of Adenomyosis?

While the precise cause of adenomyosis remains elusive, several documented risk factors have been identified. Among these, cesarean deliveries and pregnancy terminations are frequently cited. These procedures are believed to contribute to adenomyosis development by inadvertently displacing and embedding uterine lining tissue within the muscular wall. [5]

Additionally, other factors, such as prolonged estrogen exposure due to frequent menstrual cycles, early menarche, and obesity, have also been implicated in adenomyosis onset. [5]

Diagnosis and Treatment Options for Adenomyosis

The diagnosis of adenomyosis typically involves a combination of imaging tests and clinical assessment. Initial evaluation often revolves around identifying symptoms such as heavy menstrual bleeding and pelvic pain. Pelvic magnetic resonance imaging (MRI) and transvaginal ultrasonography are commonly employed diagnostic tools to confirm the presence of adenomyosis, aiding in accurate diagnosis and subsequent treatment planning. [4]

There are various treatment options available for adenomyosis management, including:

Medications such as ibuprofen, tranexamic acid, and NSAIDs are prescribed to alleviate symptoms of pain, heavy bleeding, and inflammation. [1]
Hormone medications, such as the combined pill or progestogen-only pill, may be used to regulate menstrual cycles and reduce symptoms. [1]
Intrauterine systems (IUS) or progesterone-releasing intrauterine devices (IUD) are effective in managing symptoms to some extent.
Surgical interventions, such as hysterectomy, focal adenomyosis resection, or endometrial ablation/resection, are recommended by healthcare experts based on factors such as the severity of the condition, symptoms, and the patient’s fertility desires. [6] [7] [8]

Source: Inputs from various media Sources