Functional rudimentary horn as a rare cause of pelvic pain: a case report

Iranian Red Crescent Medical Journal
Maliheh ArabDonya Khosravi

Abstract

Pelvic pain results from many causes such as primary dysmenorrhea, uterine anomalies, menstrual outflow obstruction, endometriosis, myoma and adenomyosis. This study reports on a rare case of non-communicating functional rudimentary horn. A 15-year-old nulligravida young woman with a history of severe intermittent pelvic pain presented a 4-5 centimeter mass. A surgical procedure for appendicitis was previously performed on this patient. Per-operative diagnosis was myoma and suspicion of leismus sarcoma. Laparotomy revealed left rudimentary horn, non-communication was confirmed by postoperative hysterosalpingogram (HSG) and magnetic resonance imaging (MRI). Resection of mass and left fallopian tube was done during the second surgery. Rudimentary horn should be considered in differentiation of pelvic pain and mass in young females. Early diagnosis and horn resection prevents emergency surgery and reliefs pain.

References

Nov 18, 2003·Acta Obstetricia Et Gynecologica Scandinavica·Swati Chakravarti, Kirk Chin
May 13, 2009·The British Journal of Radiology·T M ChandlerS D Chang
Jan 19, 2012·Acta Medica (Hradec Králové)·Che Hasnura Che HassanMohd Hashim Omar
Jan 25, 2012·Obstetrics and Gynecology·Charles W Monteith, Gary S Berger
Nov 3, 2012·Case Reports in Obstetrics and Gynecology·Sita ThakurChanderdeep Sharma
Jan 8, 2013·Nigerian Medical Journal : Journal of the Nigeria Medical Association·Hansa Dhar

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Citations

Mar 21, 2021·International Journal of Surgery Case Reports·Toshiaki TakahashiShunsuke Yamada
Aug 28, 2021·BMJ Case Reports·Rawan Abdulrahim A Jalil, Abeer Isa Alsada

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Methods Mentioned

BETA
hysterectomy
contraception
biopsy
surgical resection

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