Successful laparoscopic management of accessory cavitated uterine malformation misdiagnosed as non-communicating rudimentary horn in an unmarried woman
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This paper describes the successful laparoscopic management of an accessory cavitated uterine malformation misdiagnosed as a non-communicating rudimentary horn in an unmarried woman.
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Abstract
Mullerian uterine anomalies are structural defects of the female reproductive system. An accessory cavitated uterine malformation (ACUM) is a rare congenital Mullerian anomaly where an accessory cavity with normal lining of endometrium is seen within the myometrium of a normally functioning uterus. We report a case of a late-adolescence (18-21 years) girl who came with complaints of severe progressive dysmenorrhoea and chronic pelvic pain for 2 years. Ultrasound misdiagnosed it as a non-communicating rudimentary horn. On laparoscopy, a definite diagnosis of ACUM was made, followed by laparoscopic excision. The defect was sutured. Postoperatively, the patient is on regular follow-up and is asymptomatic at present.This report presents a rare case of ACUM. It is often confused with a non-communicating rudimentary horn, adenomyosis with cavity and degenerated fibroid. History and clinical examination may provide a clue but not contribute to the diagnosis; instead, MRI can provide the correct interpretation. Laparoscopic excision and suturing give symptom relief and a good fertility outcome.
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Cites (2)
- Accessory cavitated uterine malformation (ACUM): A scoping review 2024
- Diagnosis and laparoscopic excision of accessory cavitated uterine mass in young women: Two case reports 2020
Cited by (1)
References (6)
- Accessory cavitated uterine malformation (ACUM): A scoping review via openalex
- Diagnosis and laparoscopic excision of accessory cavitated uterine mass in young women: Two case reports via openalex
- W2015023199 via openalex
- W2334485457 via openalex
- W3047954161 via openalex
- W3107667686 via openalex
Cited by (1)
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- europepmc
- last seen: 2026-08-09T06:10:49.860119+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
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