PT  - JOURNAL ARTICLE
AU  - Rawan Abdulrahim A Jalil
AU  - Abeer Isa Alsada
TI  - Unicornuate uterus with a functional non-communicating horn in adolescent
AID  - 10.1136/bcr-2021-242874
DP  - 2021 Aug 01
TA  - BMJ Case Reports
PG  - e242874
VI  - 14
IP  - 8
4099  - http://casereports.bmj.com/content/14/8/e242874.short
4100  - http://casereports.bmj.com/content/14/8/e242874.full
SO  - BMJ Case Reports2021 Aug 01; 14
AB  - Common causes of pelvic pain are primary dysmenorrhoea, Müllerian duct anomalies, outflow obstruction, leiomyoma, endometriosis and adenomyosis. Unicornuate uterus with a rudimentary horn is a rare congenital malformation of the female genital tract, asymptomatic because of lack of functional endometrium. This study presents a rare case of a non-communicating functional rudimentary horn. A 16-year-old unmarried Yemeni female adolescent with a history of irregular painful menstrual period visited Obstetrics and Gynaecology outpatient clinic. Pelvic ultrasound was conducted showing an asymmetrical uterine configuration with the non-communicating rudimentary horn on the right side. Laparoscopic excision of the horn was planned for the patient. Non-communicating rudimentary horn with functional endometrium should be considered as a differential diagnosis in the female adolescent with obstructive uterine symptoms. Early diagnosis is crucial. Using the laparoscopic approach, an expert surgeon prefers definitive management to excise the rudimentary horn.