Rapid Recurrence of Unilateral Endometrioma in a Teenager with a Noncommunicating Rudimentary Horn and Unicornuate Uterus

Alicia Martínez‐Varea, Vicente Payá-Amate, José María Vila-Vives, Gema Higueras-García, Antonio Abad‐Carrascosa, José María Rubio-Rubio, Rafael Romaguera-Torregrosa
In: Open Journal of Obstetrics and Gynecology · 2014 · vol. 04(04) , pp. 208–211 · doi:10.4236/ojog.2014.44034 · W2066448754
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case reports a teenager with a unicornuate uterus and rudimentary horn who experienced rapid recurrence of an ovarian endometrioma following surgical excision, highlighting the importance of identifying obstructive Müllerian malformations in adolescent endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a 17-year-old nulligravida with severe dysmenorrhea who had undergone laparoscopic excision of a right ovarian endometrioma one year earlier and then developed rapid recurrence of a new 40 mm unilateral endometrioma within her first three years after menarche. Using transvaginal ultrasonography, MRI, hysteroscopy, and laparoscopy, the authors identified a unicornuate uterus with a noncommunicating right rudimentary horn and a dilated right fallopian tube, and performed laparoscopic excision of the rudimentary horn, the right fallopian tube, and the endometrioma; they also report a postoperative uncomplicated course and emphasize that obstructive Müllerian malformations should be ruled out in adolescents. A key limitation is that the paper provides evidence from a single patient, without prospective follow-up data to generalize outcomes or recurrence rates. This paper is centrally about endometriosis — specifically rapid recurrence of an ovarian endometrioma in an adolescent due to obstructive Müllerian malformation (unicornuate uterus with a noncommunicating rudimentary horn).

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Abstract

A 17-year-old nulligravida woman presented to the emergency department complaining of a six months’ history of severe dysmenorrhea. The patient underwent a laparoscopic excision of a right ovarian endometrioma in another hospital one year ago, 24 months after menarche at 14 years of age. Transvaginal ultrasonography, magnetic resonance imaging, hysteroscopy as well as laparo- scopy revealed a unicornuate uterus with a noncommunicating right rudimentary horn, a dilated right fallopian tube and a novel 40 mm right ovarian endometrioma. An excision of the right fallopian tube, the rudimentary horn and the endometrioma was performed. Since endometriosis may be originated by retrograde menstruation, an obstructive müllerian malformation should be ruled out at the diagnosis of endometriosis, particularly in adolescents. It may lead clinicians to provide an initial definitive treatment for avoidingrapid recurrent endometriosis.

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Condition tags

endometriosisendometriomadysmenorrhea

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