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Case report: management of cystic adenomyosis

Our objective is to present hysteroscopic dissection and ablation of adenomyotic cysts as a method of surgical management of this condition and discuss the implications and treatment in an infertile patient. Adenomyosis by definition is the benign invasion of endometrium into the myometrium producing a diffusely enlarged uterus which microscopically exhibits ectopic, non-neoplastic endometrial glands and stroma surrounded by hypertrophic and hyperplastic myometrium. Although it has been a histopathological diagnosis, with current modalities of 2D, 3D sonography and MRI, it is possible to diagnose this condition in vivo.