primary dysmenorrhea due to mullerian duct anomaly . a diagnostic challenge in radiology

rabeea khan, Raisa Altaf Malik, bushra rehan, Mahum Zaidi

Abstract


Mullerian duct dysgenesis results in various congenital anomalies including
unicornuate uterus with a rudimentary functional horn. This is a rare congenital
anomaly with a frequency of 1/100,000 (1) . However the true incidence and imaging
findings are largely undiscussed as according to studies only symptomatic cases are
reported (4) . Unicornuate uterus has an impact on the fertility of young females. Most
commonly presenting with dysmenorrhea, dyspareunia, endometriosis,
hematometra, UTI in severe cases torsion of the rudimentary horn (2) . Keeping in
view the anatomical variations of unicornuate uterus, the various symptoms
associated with it and fewer literature on this topic we present the imaging findings of
a young female who presented to the emergency department with severe lower
abdominal pain and a palpable mass. On imaging she had a unicornuate uterus with
a non-communicating functional rudimentary horn.


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References


Atmaca R, Germen AT, Burak F, Kafkasli A. Acute abdomen in a case with noncommunicating rudimentary horn and unicornuate uterus. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2005 Apr;9(2):235.

Heinonen PK. Unicornuate uterus and rudimentary horn. Fertility and sterility. 1997 Aug 1;68(2):224-30.

Jayasinghe Y, Rane A, Stalewski H, Grover S. The presentation and early diagnosis of the rudimentary uterine horn. Obstetrics & Gynecology. 2005 Jun 1;105(6):1456-67.

BJ, Martinez-Román S, Vanrell JA. Hematometra in an unattached rudimentary uterine horn and ipsilateral renal agenesis. European Journal of Obstetrics & Gynecology and Reproductive Biology. 1994 Apr 1;54(2):150-2.

Shukunami KI, Tsunezawa W, Kotsuji F. Unicornuate uterus with a noncommunicating cavitary, laterally dislocated rudimentary horn presenting with adenomyosis, associated with ipsilateral renal agenesis. Archives of gynecology and obstetrics. 2000 Sep;264(2):88-9

.

Elahi SM, Raslan F, Wakely S. Laparoscopic resection of uterus unicornis with a non-communicating uterine horn complicated by severe dysmenorrhoea and pelvic mass. Journal of Obstetrics and Gynaecology. 2009 Jan 1;29(4):354-5.

Al Hakeem M, Siddiq MM, Al Nuaim L, Gourab S. Unicornuate uterus with a non-communicating functioning rudimentary horn, associated with ipsilateral renal agenesis. Annals of Saudi medicine. 2004 Jan;24(1):48-9.

Khanna V, D'Souza J, Tiwari SS, Sharma RK, Shrivastava AK. Unicornuate uterus with an obstructed rudimentary horn: A report of two cases with an imaging perspective. Medical Journal, Armed Forces India. 2013 Jan;69(1):78.


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