Case of deep infiltrating and cystic endometriosis in a patient with a Müllerian anomaly: Surgical treatment by removing non-communicating horn

Tanne Daniels, Kaat Moelans, Jasper Verguts, Didier Bielen, Jurgen Bielen
In: Journal of Case Reports and Images in Obstetrics and Gynecology · 2025 · vol. 11(1) , pp. 42–47 · doi:10.5348/100197z08td2025cr · W4408256739
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Abstract

Introduction: Endometriosis has a higher incidence in patients with Müllerian anomalies due to the increased likelihood of retrograde menstruation. This case presents unique challenges due to the diverse morphologies seen in Müllerian anomalies. Therefore, accurate and timely preoperative diagnosis is essential to optimize pain management and fertility outcomes. Case Report: This case report presents the case of a 31-year-old patient with grade 4 endometriosis and a Müllerian anomaly, which resulted in the surgical treatment of the non-communication horn as well as the diseased ovary. Conclusion: This case exemplifies the challenges seen in with Müllerian anomaly-associated endometriosis, such as diagnostic delay and intricacy of surgical treatment options. This case highlights the importance of early intervention and a multidisciplinary approach. Increased awareness of endometriosis in patients with Müllerian anomalies among healthcare providers can improve outcomes and minimize complications.

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endometriosis

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