An Unusual Form of Unicornuate Uterus with Noncommunicating Rudimentary Horn: Case Report and Review of the Literature

Abstract

Abstract Background: Congenital uterine anomalies are the most common form of female reproductive tract anomalies. The anomalies are classified into seven major categories in which unicornuate uterus is part of the class II group. Unicornuate uterus with a noncommunicating cavitary rudimentary horn in a young female may present with lower-quadrant tenderness, an abnormal mass, and cyclic or noncyclic pelvic pain that mimics acute appendicitis when localized in the right lower quadrant. Case: This article reports an unusual form of unicornuate uterus in a 14-year-old girl presenting with severe dysmenorrhea and right lower-quadrant tenderness. Abdominal ultrasonography revealed a small uterus and a hypoechogenic solid tubular right pelvic mass. Magnetic resonance imaging (MRI) showed a centrally cystic solid mass in the right pelvic region. Results: The mass was removed via laparotomy and proved to be a rudimentary horn separate from the uterus and bowel lying freely in the right lower quadrant. Conclusion...