Laparoscopic management of non-communicating rudimentary horn in a dysmenorrheic and infertile patient

Ahmed M Saleh, Ahmed Saleh, Safiah F Sultan, Hussain M Al-Jawad, ‏Hussain Mahdi Aljawad, Sahar D Al-Ghazali, Nashmia J Al-Shalahi
Saudi medical journal · 2003 · vol. 24(2) , pp. 206–208 · doi:10.15537/1658-3175.1971 · PMID:12682690 · W1581258219
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper reports the successful laparoscopic excision of a non-communicating cavitated rudimentary horn in a 19-year-old patient presenting with dysmenorrhea and infertility.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This paper is a case report describing laparoscopic excision of a non-communicating cavitated rudimentary uterine horn in a 19-year-old nulligravid patient with severe dysmenorrhea and primary infertility. Imaging with hysterosalpingogram and MRI demonstrated a left unicornuate uterus continuous with the cervix and vagina, and a non-communicating right rudimentary horn, with laparoscopy confirming the horn’s attachment by a long fibrous band and stage III endometriosis. The rudimentary horn was freed from the pelvic sidewall and removed laparoscopically without complications, with the paper noting the procedure outcome for this single unique anatomical presentation. This paper is centrally about endometriosis and adenomyosis — it reports stage III endometriosis detected at laparoscopy in the same case of rudimentary horn excision.

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Abstract

A case of laparoscopic excision of non-communicating rudimentary horn. The anatomical features of this case were unique. A 19-year-old nulligravida presented with severe dysmenorrhea and primary infertility. Hysterosalpingogram revealed a left uterine horn that had a solitary patent tube. Magnetic resonance imaging showed a left unicornuate uterus continuous with the cervix and the vagina, and a rudimentary right uterine horn. This confirmed the diagnosis of non-communicating cavitated right rudimentary horn. At laparoscopy the patient had stage III endometriosis, and non-communicating right rudimentary horn, which was attached to the unicornuate uterus by a long fibrous band. The rudimentary horn was freed from the pelvic side wall, excised and removed laparoscopically with no complication.
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Abstract A case of laparoscopic excision of non-communicating rudimentary horn. The anatomical features of this case were unique. A 19-year-old nulligravida presented with severe dysmenorrhea and primary infertility. Hysterosalpingogram revealed a left uterine horn that had a solitary patent tube. Magnetic resonance imaging showed a left unicornuate uterus continuous with the cervix and the vagina, and a rudimentary right uterine horn. This confirmed the diagnosis of non-communicating cavitated right rudimentary horn. At laparoscopy the patient had stage III endometriosis, and non-communicating right rudimentary horn, which was attached to the unicornuate uterus by a long fibrous band. The rudimentary horn was freed from the pelvic side wall, excised and removed laparoscopically with no complication. Article Type Case Report First Page 206 Last Page 208 Recommended Citation Saleh, Ahmed M.; Sultan, Safiah F.; Al-Jawad, Hussain M.; Al-Ghazali, Sahar D.; and Al-Shalahi, Nashmia J. (2003) "Laparoscopic management of non-communicating rudimentary horn in a dysmenorrheic and infertile patient," Saudi Medical Journal: Vol. 24: Iss. 2, Article 17. DOI: https://doi.org/10.15537/1658-3175.1971

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Condition tags

dysmenorrheaendometriosisinfertility

MeSH descriptors

Dysmenorrhea Infertility, Female Uterus Adult Dysmenorrhea Dysmenorrhea Fallopian Tubes Fallopian Tubes Female Humans Hysterectomy Hysterectomy Infertility, Female Laparoscopy Uterus

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