ACUM — rare mullerian pathology (clinical case)

Anomalies of the female genital organs (malformations) are a complex medical problem because of the variety of anatomical forms and clinical manifestations, which can be asymptomatic or have pronounced symptoms. Of particular importance are cavity formations in the uterus, which may be due to a violation of the outflow of menstrual blood and other uterine cavities. As a rule, the debut of clinical manifestations coincides with the onset of menarche. The combination of the patient's complaints of severe dysmenorrhea with the characteristic localization of a cavitated myometrial mass under the round ligament, visualized by ultrasound and MRI examination, may indicate a rare uterine pathology associated with anomalies of the Müllerian ducts. The article presents a clinical case of a rare congenital anomaly of ACUM development, issues of diagnosis, treatment, and prevention.