Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2025; 13(28): 109536
Published online Oct 6, 2025. doi: 10.12998/wjcc.v13.i28.109536
Adenomyosis-associated uterine rupture and pulmonary endometriosis mimicking advanced-stage uterine malignancy in an adolescent female: A case report
U Chul Ju, Woo Dae Kang, Seok Mo Kim
U Chul Ju, Woo Dae Kang, Seok Mo Kim, Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju 61469, South Korea
Co-first authors: U Chul Ju and Woo Dae Kang.
Author contributions: Ju UC and Kang WD performed the research, analyzed the data, and wrote the manuscript as the co-first authors of the paper; Kim SM provided help and advice on the data analyzation; Ju UC, Kang WD, and Kim SM designed the research study; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient and her parents for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Seok Mo Kim, MD, PhD, Professor, Department of Obstetrics and Gynecology, Chonnam National University Medical School, 8 Hakdong, Dong-gu, Gwangju 61469, South Korea. seokmokim2001@gmail.com
Received: May 15, 2025
Revised: June 4, 2025
Accepted: July 4, 2025
Published online: October 6, 2025
Processing time: 85 Days and 6.8 Hours
Core Tip

Core Tip: This case underscores the considerable diagnostic challenges associated with rare presentations of uterine adenomyosis and pulmonary endometriosis in adolescent patients. The clinical overlap with malignancy underscores the need for a high index of suspicion and a multidisciplinary approach to ensure accurate diagnosis and timely intervention. As demonstrated here, early surgical management combined with appropriate postoperative medical therapy can lead to favorable outcomes, even in the context of severe and atypical diseases. This case reinforces the necessity of including benign etiologies in the differential diagnosis of presumed advanced-stage malignancies, particularly in young female patients.