A Rare Cause of Pelvic Pain: Degenerated Myoma Within a Rudimentary Horn of Unicornuate Uterus

Alaaddin Nayman, Ülkü Kerimoğlu, Mehmet Cengiz Çolakoğlu
In: Journal of Academic Emergency Medicine Case Reports · 2014 · pp. 72–74 · doi:10.5152/jaemcr.2014.42650 · W2318192759
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Abstract

Introduction: Treatment options for the different congenital uterine abnormalities of the uterus vary considerably; therefore, preoperative imaging plays a crucial role in the management.Case Report: A 29-year-old woman who had pelvic pain and vomiting, were examined with pelvic ultrasound (US) and magnetic resonance imaging (MRI).A hypoechoic pelvic mass was detected via ultrasound.A degenerated myoma was estimated, but to exclude a mass from the right ovary, a pelvic MRI was performed.The degenerated myoma was considered and was located in the rudimentary horn of the right side of the uterus.This appearance was confirmed by laparotomy. Conclusion:Although ultrasound is the first imaging modality for acute pelvic pathologies, magnetic resonance imaging is superior to ultrasound in evaluating the congenital abnormalities of the uterus.

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