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

Abstract EN

Introduction : 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.

Case Presentations : 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.

Conclusions : 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.