A diagnostic dilemma: functioning noncommunicating uterine horn and elevated levels of CA125.
BACKGROUND
Müllerian duct abnormalities are important to diagnose, considering the various clinical manifestations, implications for reproductive life, different treatment options, and prognoses. However, they are often difficult to diagnose, especially by noninvasive means. Here we discuss the diagnostic difficulty incurred in a case of unicornuate uterus with functioning noncommunicating horn having a high level of cancer antigen 125 as a presenting feature.


METHODS
Unicornuate uterus with raised serum CA125.


CONCLUSIONS
Mullerian duct anomaly can be a differential diagnosis in women with adnexal mass and elevated CA125.
Basak
S
S
West Suffolk Hospital, Bury St Edmunds, UK. sonela_basak@yahoo.co.uk
MacDougal
J
J
Prentice
A
A
D000293:Adolescent; D018394:CA-125 Antigen / Q000097:blood*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities*; D013771:Tetralogy of Fallot / Q000601:surgery; D014599:Uterus / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery
D018394:CA-125 Antigen