Duplication of the uterus with a noncommunicating functioning uterine horn.
Incomplete duplication of the uterus with a functioning noncommunicating uterine horn is a rare developmental anomaly of the paramesonephric ducts. Although usually described in association with obstetric catastrophes, it has been reported recently in young women with gynecologic complaints. We describe a nulliparous patient with dysmenorrhea that had increased since menarche and a large pelvic mass. Surgical exploration revealed incomplete uterine duplication with a noncommunicating functioning uterine horn with a large hematosalpinx due to cryptomenorrhea. Inclusion of the anomaly in the differential diagnosis of young women with intractable, increasing dysmenorrhea and a pelvic mass will lead to prompt surgical intervention and obviate a catastrophic obstetric event.
Silber
C G
CG
Department of Obstetrics and Gynecology, Albert Einstein Medical Center Northern Division, Philadelphia, PA.
Magness
R L
RL
Farber
M
M
D000328:Adult; D003937:Diagnosis, Differential; D004412:Dysmenorrhea / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D010386:Pelvic Neoplasms / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014599:Uterus / Q000002:abnormalities*