A case of functional non communicating rudimentary horn of unicornuate uterus presenting as persistent lump abdomen

Sana Amrin, Shobha Mukherjee, Usha Jain
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2016 · pp. 530–531 · doi:10.18203/2320-1770.ijrcog20160404 · W2252922113
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This case report details a rare congenital anomaly of a unicornuate uterus with a functional noncommunicating rudimentary horn that presented as a persistent abdominal lump even after prior surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This paper reports a rare case of a unicornuate uterus with a functional non-communicating rudimentary horn that presented as a persistent lump in the abdomen after a prior exploratory laparotomy for the same complaint. The authors describe the congenital müllerian duct anomaly and note that such cases can be associated with symptoms including dysmenorrhea, hematometra, endometriosis, and infertility, though the report’s immediate clinical narrative centers on the persistent abdominal mass despite previous surgery. The key finding is that the rudimentary horn was functional yet non-communicating and remained linked to the presenting lump even after earlier intervention. This paper is centrally about endometriosis—because the authors explicitly situate functional non-communicating rudimentary horns as potential causes of endometriosis in the context of congenital uterine anomalies.

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Abstract

Unicornuate uterus with a functional non communicating rudimentary horn is a rare congenital mullerian duct anomaly. It presents with various complaints like dysmenorrhoea, hematometra, endometriosis, lump in abdomen, infertility and even ectopic pregnancy. Here we present such a case which had undergone exploratory laparotomy in the past for lump in abdomen and now presented to us with persistence of lump even after surgery.
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A case of functional non communicating rudimentary horn of unicornuate uterus presenting as persistent lump abdomen DOI: https://doi.org/10.18203/2320-1770.ijrcog20160404Keywords: Unicornuate uterus, Functional non communicating rudimentary hornAbstract Unicornuate uterus with a functional non communicating rudimentary horn is a rare congenital mullerian duct anomaly. It presents with various complaints like dysmenorrhoea, hematometra, endometriosis, lump in abdomen, infertility and even ectopic pregnancy. Here we present such a case which had undergone exploratory laparotomy in the past for lump in abdomen and now presented to us with persistence of lump even after surgery.Metrics References Byrne J, Nussbaum-Blask A, Taylor WS. Prevalence of mullerian duct anamolies detected at USG. Am J Med Genet. 2000;94(1):9-12. O’leary JL, O’Leary JA. Rudimentary horn pregnancy. Obstet Gynecol. 1963;22:37. Fedele L, Marchini M, Baglioni A, Carinelli S, Zamberletti D, Candiani GB. Endometrium of cavitatory rudimentary horns in unicornuate Uteri. Obstet Gynaecol March. 1990;75(3):437-40. American Fertility Society: classification of mullerian anomalies. Fertil Steril. 1988;49:944. Raga F, Bauset C, Remohi J, Bonilla-Musoles F, Simón C, Pellicer A. Reproductive impact of congenital mullerian anomalies. Hum Reprod. 1997;12:2277-81. Tanaka Y, Hironori A, Hiroshi U, Maruyama T, Kuji N, Sueoka K. Case of iatrogenic dysmenorrhoea in non-communicating rudimentary uterine horn and its laparoscopic resection. J Obstet Gynaecol Res. 2005;31(3):242-6. Kriplani A, Agarwal N. Hysteroscopic and laparoscopic guided mini access hemihysterectomy for non-communicating uterine horn. Arch Gynecol Obstet. 2001;265:162-4.

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endometriosisdysmenorrheainfertility

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