Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review

Lindsay A. Hartup, Katherine E. Kostroun, Belinda J. Yauger

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Accurate diagnosis of a müllerian anomaly is essential for appropriate management and prevention of complications. However, diagnosis is often missed or delayed. Case: This is a case of a nulliparous woman with a müllerian anomaly diagnosed at the age of 36 despite prior evaluation with ultrasound and laparoscopy. Magnetic resonance imaging (MRI) suggested a unicornuate uterus with a right non-communicating rudimentary horn. Hysteroscopy and chromopertubation confirmed the diagnosis. The rudimentary horn was resected laparoscopically using bipolar energy. Conclusion: An undiagnosed müllerian anomaly should be considered in the setting of persistent dysmenorrhea. Three-dimensional ultrasound or MRI should be used judiciously in patients with refractory dysmenorrhea or when ultrasound raises concern for a müllerian anomaly.

Original languageEnglish (US)
Article numbere00535
JournalCase Reports in Women's Health
Volume39
DOIs
StatePublished - Sep 2023

Keywords

  • Endometriosis
  • Infertility
  • Müllerian anomaly
  • Rudimentary horn
  • Unicornuate uterus

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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