Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review
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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911223000590 |
| _version_ | 1797647657595830272 |
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| author | Lindsay A. Hartup Katherine E. Kostroun Belinda J. Yauger |
| author_facet | Lindsay A. Hartup Katherine E. Kostroun Belinda J. Yauger |
| author_sort | Lindsay A. Hartup |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T15:19:40Z |
| format | Article |
| id | doaj.art-f7b3c7e5c9d74ef29da252cb11ef7478 |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-03-11T15:19:40Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-f7b3c7e5c9d74ef29da252cb11ef74782023-10-29T04:19:50ZengElsevierCase Reports in Women's Health2214-91122023-09-0139e00535Delayed diagnosis of a non-communicating right uterine horn: A case report and literature reviewLindsay A. Hartup0Katherine E. Kostroun1Belinda J. Yauger2Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Dr, San Antonio, TX, 78229, San Antonio, TX, United States of America; Corresponding author.Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Dr, San Antonio, TX, 78229, San Antonio, TX, United States of AmericaDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Dr, San Antonio, TX, 78229, San Antonio, TX, United States of AmericaBackground: 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.http://www.sciencedirect.com/science/article/pii/S2214911223000590EndometriosisUnicornuate uterusRudimentary hornMüllerian anomalyInfertility |
| spellingShingle | Lindsay A. Hartup Katherine E. Kostroun Belinda J. Yauger Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review Case Reports in Women's Health Endometriosis Unicornuate uterus Rudimentary horn Müllerian anomaly Infertility |
| title | Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review |
| title_full | Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review |
| title_fullStr | Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review |
| title_full_unstemmed | Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review |
| title_short | Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review |
| title_sort | delayed diagnosis of a non communicating right uterine horn a case report and literature review |
| topic | Endometriosis Unicornuate uterus Rudimentary horn Müllerian anomaly Infertility |
| url | http://www.sciencedirect.com/science/article/pii/S2214911223000590 |
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