PMC10256944_01
(a) MRI picture showing JCA (marked red arrow), (b) Laparoscopic view showing JCA lesion below left round ligament, (c) Removal of the lesion followed by myometrial defect closure. Normal endometrial cavity is intact with retained both tubal attachments to the uterus, (d) MRI picture showing lesion adjacent to the endometrial cavity, (e) Laparoscopic view showing right-sided blind hemicavity (Robert's uterus), (f) Final picture after removal of the blind uterine horn, myometrial closure, and ovarian plication. JCA = Juvenile cystic adenomyoma, MRI = Magnetic resonance imaging
JHRS-16-79-g001.jpg
PMC10256944_02_JHRS-16-79-g001.jpg
F1
MRI showed a heterogeneous lesion of size 5.4 cm x 4.5 cm in the right lateral wall of the uterus abutting the adjacent junctional zone medially, not communicating with the endometrial cavity [Figure 1d]. However, on laparoscopy, a bulge was noted on the right side of the uterus with the right round ligament, the fallopian tube and the ovary attached to the lesion [Figure 1e]. Myometrial closure was done using 1-0 V-Loc suture, and ovarian plication was done using a number 1 Vicryl suture [Figure 1f].
PMC10256944_02
(a) MRI picture showing JCA (marked red arrow), (b) Laparoscopic view showing JCA lesion below left round ligament, (c) Removal of the lesion followed by myometrial defect closure. Normal endometrial cavity is intact with retained both tubal attachments to the uterus, (d) MRI picture showing lesion adjacent to the endometrial cavity, (e) Laparoscopic view showing right-sided blind hemicavity (Robert's uterus), (f) Final picture after removal of the blind uterine horn, myometrial closure, and ovarian plication. JCA = Juvenile cystic adenomyoma, MRI = Magnetic resonance imaging
JHRS-16-79-g001.jpg
PMC10256944_02_JHRS-16-79-g001.jpg
F1
MRI showed a heterogeneous lesion of size 5.4 cm x 4.5 cm in the right lateral wall of the uterus abutting the adjacent junctional zone medially, not communicating with the endometrial cavity [Figure 1d]. However, on laparoscopy, a bulge was noted on the right side of the uterus with the right round ligament, the fallopian tube and the ovary attached to the lesion [Figure 1e]. Myometrial closure was done using 1-0 V-Loc suture, and ovarian plication was done using a number 1 Vicryl suture [Figure 1f].