Abstract
A case of massive hematometra with a bicornuate uterus in a 14-year-old mentally handicapped girl complicated by vaginal agenesis and absent cervix is presented. She was managed by abdominal hysterectomy and right salpingo-oophorectomy that included the ovarian cystadenoma. The left ovary was conserved. This treatment was considered appropriate for this patient.
Highlights
The independent occurrence of congenital hematometra without hematocolpos is a rare Mullerian anomaly which results from a noncommunicating rudimentary horn with functioning endometrium or primary cervical atresia and absent upper vagina [1,2,3]
We report a case of massive hematometra, right-sided hematosalpinx and a right ovarian tumor in a 14-year-old premenarcheal, mentally retarded girl who presented with acute abdominal pain and a pelviabdominal mass reaching the xiphisternum
Manual exploration of the mass revealed a bicornuate uterus with a rudimentary horn on the left side and a normal ovary
Summary
The independent occurrence of congenital hematometra without hematocolpos is a rare Mullerian anomaly which results from a noncommunicating rudimentary horn with functioning endometrium or primary cervical atresia and absent upper vagina [1,2,3]. This paper was approved by the hospital research and ethical committee
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