Residual Horn Uterus Complicated with Adenomyosis: A Case Report and Literature Review

灿灿 陆
In: Advances in Clinical Medicine · 2025 · vol. 15(02) , pp. 940–943 · doi:10.12677/acm.2025.152429 · W4407998592
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This case report details a patient with a residual horn uterus combined with adenomyosis, including a literature review on the condition's presentation, diagnosis, and management.

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This case report and literature review examines a rare clinical presentation of residual horn uterus complicated by adenomyosis, highlighting the diagnostic challenges associated with this congenital reproductive tract malformation. The authors detail the management of a patient who underwent laparoscopic resection of the residual horn to address symptoms such as dysmenorrhea and potential infertility risks inherent to the condition. The paper reviews existing literature to clarify typology, clinical manifestations, and treatment strategies, emphasizing the importance of early detection to prevent misdiagnosis and improve patient quality of life. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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残角子宫合并子宫腺肌病1例并文献分析 Residual Horn Uterus Complicated with Adenomyosis: A Case Report and Literature Review Residual Horn Uterus Complicated with Adenomyosis: A Case Report and Literature Review DOI: 10.12677/acm.2025.152429, PDF, 被引量 作者: 陆灿灿, 金银瑛, 杨 欣, 乔 涵, 张晶晶*：青岛大学附属医院崂山院区妇科，山东 青岛 关键词: 残角子宫；子宫腺肌病；病例报告；Residual Horn Uterus； Adenomyosis； Case Report 作者: 陆灿灿, 金银瑛, 杨 欣, 乔 涵, 张晶晶*：青岛大学附属医院崂山院区妇科，山东 青岛 关键词: 残角子宫；子宫腺肌病；病例报告；Residual Horn Uterus； Adenomyosis； Case Report 摘要: 残角子宫是一种先天性的生殖道畸形，在临床上发病率极低，患者易发生痛经、异位妊娠、不孕、流产等，从而影响生活质量。尽管目前已有多种辅助检查帮助诊断，但该病在临床上仍然容易误诊，本文通过报道1例残角子宫合并子宫腺肌病患者最终行腹腔镜下残角子宫切除的临床资料，并复习相关文献，对残角子宫的分型、临床表现、诊断以及治疗进行分析，提高临床医生对该病的认识，对疾病进行早发现、早诊断、早治疗，从而提高患者的生活质量。 Abstract: Residual horn uterus is a congenital malformation of the reproductive tract with a very low clinical incidence, and patients are prone to dysmenorrhea, ectopic pregnancy, infertility, and miscarriage, thus affecting the quality of life. Although a variety of auxiliary tests are available to help diagnose the disease, it is still easy to misdiagnose the disease clinically. In this article, we report the clinical data of a patient with Residual horn uterus combined with adenomyosis who finally underwent laparoscopic stumpy hysterectomy, and review the relevant literature, so as to analyze the typology, clinical presentation, diagnosis, and treatment of stumpy uterus, to improve the clinician’s understanding of the disease, and to carry out early detection, early diagnosis and early treatment, thereby improving the patient’s life quality, early diagnosis and treatment of the disease, thus improving the quality of life of patients. 文章引用：陆灿灿, 金银瑛, 杨欣, 乔涵, 张晶晶. 残角子宫合并子宫腺肌病1例并文献分析[J]. 临床医学进展, 2025, 15(2): 940-943. https://doi.org/10.12677/acm.2025.152429 | [1] | 中华医学会妇产科学分会, 中国医师协会妇产科医师分会女性生殖道畸形学组. 女性生殖器官畸形命名及定义修订的中国专家共识(2022版) [J]. 中华妇产科杂志, 2022, 57(8): 575-580. | | [2] | Edwin, F., Andrea, E., Joe, H., et al. (2023) Concurrent Diagnosis of Adenomyosis and Congenital Uterine Anomalies: A Review. Journal of Personalized Medicine, 13, Article 716. [Google Scholar] [CrossRef] [PubMed] | | [3] | 鲍欣淼, 朱兰. 单角子宫合并残角子宫畸形诊治进展[J]. 中国实用妇科与产科杂志, 2022, 38(5): 571-573. | | [4] | 廖平川, 鹿静. 残角子宫腺肌病一例超声误诊原因分析[J]. 中国药物与临床, 2018, 18(3): 502. | | [5] | 张璐芳, 汪宏波. 单角子宫并残角子宫合并子宫内膜异位1例[J]. 实用妇产科杂志, 2013, 29(1): 48. | | [6] | 马玉莲, 曹白存. 残角子宫腺肌症合并卵巢子宫内膜异位囊肿一例报告[J]. 青海医药杂志, 2023, 53(4): 53-55. | | [7] | Reichman, D., Laufer, M., et al. (2009) Pregnancy Outcomes in Unicornuate Uteri: A Review. Fertility and Sterility, 91, 1886-1894. [Google Scholar] [CrossRef] [PubMed] | | [8] | 殷姣, 马晓欣. 残角子宫诊治进展[J]. 中国实用妇科与产科杂志, 2021, 37(3): 396-398. |

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