Fatma M Rentiya

Introduction: This is a case report of Juvenile Cystic Adenomyoma (JCA) which is very rare disease. Here, our purpose is to describe this rare cause of refractory secondary dysmenorrhoea along with its whole diagnostic work up & to evaluate laparoscopic management for treatment of JCA in terms of symptomatic relief & recurrence. Materials and Methods: Laparoscopic excision of cystic lesion was performed & the mass was sent for histopathological examination(HPE). Diagnosis of JCA was confirmed by HPE. Patient has been followed up for four times to assess for relief of dysmenorrhoea & recurrence of adenomyosis. Results: In all four follow up visits, the patient had not complained of dysmenorrhoea & there was no evidence of adenomyosis. Conclusion: In Conclusion, JCA is a rare cause of severe secondary dysmenorrhoea & therefore, it should be kept in mind when an adolescent girl presents with severe dysmenorrhoea refractory to medication. Laparoscopic removal is the best in terms of feasibility & preservation of fertility with resolution of symptoms. Keywords: Juvenile cystic Adenomyoma, Excision, Rare, Cystic adenomyosis, Non communicating horn, Cystic lesion, Adenomyosis laparoscopy, Dysmenorrhoea, Uterus.