Late-onset hematometra and hematosalpinx in a woman with a noncommunicating uterine horn. A case report.

Fujimoto Vy, V Y Fujimoto, Klein Na, N A Klein, Miller Pb, P B Miller
The Journal of reproductive medicine · 1998 · vol. 43(5) , pp. 465–7 · PMID:9610474 · W2417776071
article OA: closed CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case report describes a 41-year-old woman with a noncommunicating uterine horn who developed hematometra and hematosalpinx with endometriosis after assisted reproductive technology.

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Abstract

BACKGROUND: Noncommunicating uterine horns are rare, occasionally presenting with functional endometrial cavities. Surgical removal of the noncommunicating horn is commonly performed to prevent endometriosis in these patients. CASE: A 41-year-old woman with a unicornuate uterus and noncommunicating uterine horn presented with a three-month history of right-sided pelvic pain. She had previously undergone multiple assisted reproductive technique attempts with superovulation and supraphysiologic serum estradiol levels and no apparent symptomatology or evidence of hematosalpinx during laparoscopy. Shortly after completing a donor oocyte recipient cycle, she developed acute right-sided pelvic pain. Diagnostic laparoscopy and subsequent laparotomy confirmed a right hematosalpinx and hematometra of the noncommunicating horn, with stage III endometriosis. CONCLUSION: Consideration of prophylactic resection of a noncommunicating uterine horn with a cavity should be considered in an asymptomatic, reproductive-age patient with this rare müllerian anomaly.

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Condition tags

chronic_pelvic_painendometriosis

MeSH descriptors

Fallopian Tube Diseases Hematometra Uterus Adult Embryo Transfer Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Female Hematometra Hematometra Hematometra Humans Oocyte Donation Pelvic Pain Reproductive Techniques Uterus Uterus

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Cited by (6)

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License: CC0 · commercial use OK