Dysmenorrhea in unicornis with rudimentary uterine cavity.
Two adolescents with a rare müllerian anomaly, uterus unicornis with a noncommunicating rudimentary uterine cavity, are presented because of clinical manifestations characterized by dysmenorrhea and pelvic pain requiring multiple hospitalizations and surgical procedures prior to the correct diagnosis. A high index of suspicion and proper diagnostic evaluation are essential for all adolescent patients presenting with dysmenorrhea associated with menarche and subsequent menstruation. The details of 2 cases and their diagnostic and therapeutic emphasis are presented.
D000293:Adolescent; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000601:surgery; D004412:Dysmenorrhea / Q000209:etiology*; D005260:Female; D006801:Humans; D014599:Uterus / Q000002:abnormalities*