A Rare Case of Recurrent Dysmenorrhea due to Endometriosis: Müllerian Anomaly in a Female with a Rudimentary Uterus

Jiayue Wang1, Xufei Fang1, Efeng Cheng1, Ying Lv1, Lichao Yuan1, Xiujuan Zheng1* and Jian-Jiao Chen2*

1Department of Obstetrics and Gynecology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, China
2Department of General Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, China

^*Correspondance to: Xiujuan Zheng 

 PDF  Full Text DOI: 10.25107/2474-1647.3392

Abstract

Introduction: A rudimentary uterus is a rare congenital pathology linked to an abnormality in the development of the Mullerian system. It is closely associated with obstetrical complications such as recurrent abortion, ectopic pregnancy and hysterorrhexis. Case: A 27-year-old unmarried female was admitted with recurrent dysmenorrhea for 8 months. Gynecological 3D ultrasound revealed uterine malformations and a large irregular complex mass in the left hemipelvis with multiple cystic and solid components. Therefore, a left hysterosalpingectomy and ovarian endometriotic cystectomy were performed for her. No recurrence of dysmenorrhea was observed within 1 year follow-up. Discussion: Patients suffer from pelvic pain attributable to the increased prevalence of endometriosis, which is caused by retrograde flow of menses through the obstructed horn. Ultrasound is indicated as the first test for rudimentary uterus, while MRI is found to be the optimal choice in the diagnosis as well as for surgical planning. Resection of the rudimentary horn is the definitive treatment modality, regardless of conventional surgery or laparoscopically.

Keywords

Müllerian anomaly; Rudimentary uterus; Dysmenorrhea, endometriosis

Cite the article

Wang J, Fang X, Cheng E, Lv Y, Yuan L, Zheng X, et al. A Rare Case of Recurrent Dysmenorrhea due to Endometriosis: Müllerian Anomaly in a Female with a Rudimentary Uterus. Clin Surg. 2022; 7: 3392.