Unicornuate Uterus with Functional   Noncommunicating Rudimentary Horn – A Rare Mullerian Anomaly

Anju Kumari Rani; Anand Prakash; Deepa Kapoor

Volume : I, Issue : VI, March - 2012

Unicornuate Uterus with Functional Noncommunicating Rudimentary Horn – A Rare Mullerian Anomaly

Anju Kumari Rani, Anand Prakash, Deepa Kapoor

Abstract :

We describe here a case of a 27 year old nulligravida presented with progressively increasing dysmenorhea since menarche. She used to take analgesics in almost every menstrual cycle .The hysterosalpingography showed right unicornuate uterus with normal fallopian tube spill and her pelvic magnetic resonance imaging (MRI) was highly suspicious of right unicornuate uterus with left non–communicating rudimentary horn with haematometra. Laparoscopy confirmed the diagnosis of right unicornuate uterus with left non–communicating rudimentary horn placed extremely lateral on the lateral pelvic wall close to the pelvic vessels and the ureter. Laparotomy was done followed by resection of left noncomunicating rudimentary horn. Left ovary and fallopian tube was preserved. Post operative course was uneventful and she was discharged from the hospital on fourth post operative day. Surgery resulted in amelioration of severe dysmenorrhea and patient was asymptomatic at six months of follow up. SUMMARY We describe her a case of 27 year old nulligravid women had increasing dysmenorhea since menarche, requiring analgesics in almost every menstruation . Hysterosalpingography showed right unicornuate uterus with normal fallopian tube spill and pelvic magnetic resonance imaging ( MRI ) was highly suspicious of non–communicating rudimentary horn with haematometra. Laparoscopy confirmed the diagnosis of right unicornuate uterus with left non–communicating rudimentary horn. Laparotomy and resection of the rudimentary uterine horn was done with preservation of left ovary and fallopian tube. The patient was discharged on fourth post operative day without any complication.