Noncommunicating accessory uterine cavity

Objective: To report a case of a noncommunicating accessory uterine cavity. Design: Case report. Setting: University-affiliated reproductive endocrinology practice. Patient(s): A 15-year-old nulligravida with increasing dysmenorrhea. Intervention(s): Pelvic ultrasound, intravenous pyelogram, hysterosalpingogram, laparoscopy, laparotomy, and resection of noncommunicating accessory uterine cavity. Main Outcome Measure(s): Results of imaging studies, surgical examination, and resection of anomaly. Result(s): Complete resection of accessory cavity and resolution of dysmenorrhea. Conclusion(s): The patient had a mullerian anomaly in which the uterus contained two uterine cavities. One normal uterine cavity with communication to both fallopian tubes was present along with a noncommunicating, accessory uterine cavity.