Intractable Dysmenorrhea in Adolescent: A Series of Two Cases of Laparoscopic Rudimentary Horn Excision
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Abstract
Background: Mullerian anomalies occur in about 3-10% of females. Women with uterine anomalies are usually asymptomatic unless there is obstruction to menstrual flow, when cyclical pain is experienced. Unicornuate uterus with a non-communicating rudimentary horn with a functioning endometrium is a rare cause of dysmenorrhoea presenting soon after menarche. Case Report: We report two cases of adolescent female presenting with severe dysmenorrhoea. The first patient had unicornuate uterus with a firmly attached noncommunicating rudimentary horn with functional endometrium. Successful laparoscopic excision of rudimentary horn was done. The second case was also similar to the first one but in this case the rudimentary horn was attached to the other horn with a loose band of tissue and in this case the excision was comparatively easier as compared to the first case which was more challenging. Conclusion: Non-communicating rudimentary horn with functional endometrium should be kept as a differential diagnosis in adolescent girls with dysmenorrhoea and ultrasound suggestive of complex adnexal cyst.
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- Functional Rudimentary Horn as a Rare Cause of Pelvic Pain: A Case Report via openalex
- W2132970488 via openalex
- W2163443063 via openalex
- W2523191762 via openalex
- W4232389501 via openalex
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