Late-onset hematometra and hematosalpinx in a woman with a noncommunicating uterine horn. A case report.
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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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Cited by (6)
- Unicornuate uterus with a functional, non-communicating rudimentary cavity associated with ovarian endometriosis and ipsilateral renal agenesis 2024
- A Case of Rare Mullerian Anomaly—Functional Rudimentary Uterine Horn: As an Unusual Cause of Unilateral Dysmenorrhea in Postmenarchal Adolescent Girl 2012
- Útero unicorne con cuerno rudimentario no comunicante en la adolescencia 2011
- Removal of a Non-Communicating Horn May Not Affect Persistence or Recurrence of Endometriosis: A Case Report 2007
- Finger-Assisted Laparoscopy to Remove a Noncommunicating Uterine Horn 2001
- Haematometra in one half of the uterus or rudimentary horn? 1970
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- europepmc
- last seen: 2026-09-27T09:11:36.575535+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:10:40.754221+00:00
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