Haematometra in one half of the uterus or rudimentary horn?

Suniti Rawal, Josie Baral, Meeta Singh, Samira Khan, Beemba Shakya, Rashmi Choudhary, Mira Thapa, Varsha Anand
In: Nepal Journal of Obstetrics and Gynaecology · 1970 · vol. 2(1) , pp. 59–62 · doi:10.3126/njog.v2i1.1480 · W2033158220
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a diagnosis and successful surgical management of haematometra in a non-communicating rudimentary uterine horn in a 22-year-old woman presenting with pelvic pain and dysmenorrhea.

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The paper reports a rare Müllerian anomaly involving a unicornuate uterus with a functioning, noncommunicating rudimentary horn, presenting as haematometra. A 22-year-old woman with severe lower abdominal pain and dysmenorrhea had a history of laparotomy 7 months earlier for an endometriotic ovarian cyst; imaging identified haematometra confined to the rudimentary horn with a normal uterus and right adnexa, and the authors treated it surgically with drainage, excision of a septum, and reconstruction of the uterine cavity. The intra- and postoperative course was uneventful, and she was asymptomatic at follow-up after discharge with oral contraceptive pills. This paper is centrally about endometriosis — it describes a case with a prior endometriotic ovarian cyst and includes endometriosis among its keywords and clinical context.

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Abstract

A unicornuate uterus with functioning and non communicating rudimentary horn is a rare Mullerian abnormality, difficult to diagnose at times usually low in the list of differential diagnosis for pelvic pain and dysmenorrhea. A 22 years P1 presented with severe lower abdominal pain and dysmenorrhoea, following laparotomy that was done for endometriotic cyst of left ovary 7 months back. Radiographic studies revealed the haematometra in the rudimentary horn with normal uterus, right ovary and the tube. Laparotomy with drainage of haematometra and excision of septum along with the reconstruction of uterine cavity was performed thus anatomizing it with the cavity of the rudimentary horn. Both the intra and the post operative period were uneventful. She was discharged on OCP along with the advice to follow up regularly. She is asymptomatic till date. Key words: Endometriosis, haematometra, rudimentary horn doi:10.3126/njog.v2i1.1480 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 59 - 62 May -June 2007
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Haematometra in one half of the uterus or rudimentary horn? Keywords: Endometriosis, haematometra, rudimentary hornAbstract A unicornuate uterus with functioning and non communicating rudimentary horn is a rare Mullerian abnormality, difficult to diagnose at times usually low in the list of differential diagnosis for pelvic pain and dysmenorrhea. A 22 years P1 presented with severe lower abdominal pain and dysmenorrhoea, following laparotomy that was done for endometriotic cyst of left ovary 7 months back. Radiographic studies revealed the haematometra in the rudimentary horn with normal uterus, right ovary and the tube. Laparotomy with drainage of haematometra and excision of septum along with the reconstruction of uterine cavity was performed thus anatomizing it with the cavity of the rudimentary horn. Both the intra and the post operative period were uneventful. She was discharged on OCP along with the advice to follow up regularly. She is asymptomatic till date. Key words: Endometriosis, haematometra, rudimentary horn doi:10.3126/njog.v2i1.1480 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 59 - 62 May -June 2007 Downloads Downloads How to Cite Issue Section License Copyright on any research article in the Nepal Journal of Obstetrics and Gynaecology is retained by the author(s). The authors grant the Nepal Journal of Obstetrics and Gynaecology a license to publish the article and identify itself as the original publisher. Articles in the Nepal Journal of Obstetrics and Gynaecology are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/) This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.

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endometriosisdysmenorrhea

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