Abstract
A 17-year-old nulligravida woman presented to the emergency department complaining of a six months’ history of severe dysmenorrhea. The patient underwent a laparoscopic excision of a right ovarian endometrioma in another hospital one year ago, 24 months after menarche at 14 years of age. Transvaginal ultrasonography, magnetic resonance imaging, hysteroscopy as well as laparo- scopy revealed a unicornuate uterus with a noncommunicating right rudimentary horn, a dilated right fallopian tube and a novel 40 mm right ovarian endometrioma. An excision of the right fallopian tube, the rudimentary horn and the endometrioma was performed. Since endometriosis may be originated by retrograde menstruation, an obstructive müllerian malformation should be ruled out at the diagnosis of endometriosis, particularly in adolescents. It may lead clinicians to provide an initial definitive treatment for avoidingrapid recurrent endometriosis.
Highlights
Müllerian ducts are a couple of embryologic structures which undergo fusion and resorption in utero in order to originate the uterus, fallopian tubes, cervix, and cranial two-thirds of the vagina
20% of all müllerian duct anomalies are constituted by the unicornuate uterus
Theories regarding endometriosis pathogenesis include those proposing a nonuterine origin of the disease, such as transformation of peritoneal tissue to ectopic endometrial tissue or development of residual cells from embryologic Müllerian duct migration into endometriotic lesions [4]
Summary
Müllerian ducts are a couple of embryologic structures which undergo fusion and resorption in utero in order to originate the uterus, fallopian tubes, cervix, and cranial two-thirds of the vagina. How to cite this paper: Martínez-Varea, A., et al (2014) Rapid Recurrence of Unilateral Endometrioma in a Teenager with a Noncommunicating Rudimentary Horn and Unicornuate Uterus. From an interrupted development, incomplete fusion or resorption of müllerian ducts. These anomalies are often associated with primary amenorrhea, infertility, obstetric complications, and endometriosis [1] [2]. 20% of all müllerian duct anomalies are constituted by the unicornuate uterus. Most of these patients are asymptomatic until menarche or until they become pregnant [3]. We report a rapid recurrence of a unilateral ovarian endometrioma in a teenager due to an obstructive müllerian malformation
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
