BACKGROUND Accessory cavitated uterine malformations, or mass (ACUM) is
a Mullerian anomaly which increasingly recognized as a cause of severe
dysmenorrhoea and pelvic pain. OBJECTIVE To know what ACUMs are and
recognize their clinical presentation, able to diagnose an ACUM using
ultrasound or MRI; and counsel patients with ACUMs on the different
management options, including conservative, medical, and surgery.
CONCLUSION AND WIDER IMPLICATION ACUMs are less rare than previously
believed; hence ACUM diagnosis is essential in clinically suspicious
cases via ultrasound and MRI, and intra-operative assessment of uterine
morphology and laparoscopic surgical excision is the definitive
treatment for ACUM.