title: Spontaneous Ruptured Uterus in an Adolescent With Polycystic Ovarian Syndrome and Endometrial Hyperplasia.
abstract: Uterine diverticula and rudimentary horns are rare forms of uterine anomalies that occur during embryogenesis. They can communicate with the endometrial cavity and may have the potential to develop pathology. This case report presents an obese, anovulatory adolescent with polycystic ovarian syndrome who was admitted with acute abdominal pain and found to have radiological findings that were concerning for a ruptured mass contiguous with the uterine cavity, which was likely a uterine horn or diverticulum. Further evaluation revealed simple hyperplasia without atypia on endometrial sampling, supporting the surgical resection and subsequent medical management of this young patient.
authors.affiliation: Department of Obstetrics and Gynecology, Harbor-UCLA Medical Center, Torrance, California.
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Baquing
authors.affiliation: Department of Obstetrics and Gynecology, Harbor-UCLA Medical Center, Torrance, California. Electronic address: jbrotherton@obgyn.humc.edu.
authors.forename: Joy
authors.initials: J
authors.lastname: Brotherton
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000601:surgery*; D000293:Adolescent; D003280:Contraceptives, Oral, Synthetic / Q000627:therapeutic use; D004714:Endometrial Hyperplasia / Q000150:complications / Q000473:pathology / Q000601:surgery*; D004717:Endometrium / Q000473:pathology*; D005260:Female; D006801:Humans; D008525:Medroxyprogesterone / Q000627:therapeutic use; D009765:Obesity / Q000150:complications*; D011085:Polycystic Ovary Syndrome / Q000150:complications / Q000473:pathology / Q000601:surgery*; D014564:Urogenital Abnormalities / Q000473:pathology; D014597:Uterine Rupture / Q000209:etiology / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities / Q000473:pathology
chemical_list: D003280:Contraceptives, Oral, Synthetic; D008525:Medroxyprogesterone
keywords: Adolescent; Endometrial hyperplasia; Polycystic Ovary Syndrome; Uterine diverticula; Uterine horn; Uterine rupture