Endoscopic Mx of a Mullerian anomanly in a teenage girl: a c
Mullerian anomalies are developmental malformations of the female reproductive tract, often diagnosed late. They are classified into numerous types like a septate uterus, bicornuate or unicornuate uterus etc.

A rudimentary noncommunicating functional horn is a rare variant of a unicornuate uterus. It may present with a wide spectrum of symptoms like severe dysmenorrhea, infertility, lump in the abdomen or rarely may be diagnosed with a ruptured ectopic in the horn. The diagnosis of this entity is difficult and challenging.

Published in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology, the authors present a case of a young adolescent diagnosed with this Mullerian anomaly, the role of hysteroscopy in confirmation of diagnosis and the management of the patient by laparoscopy successfully. The patient was completely relieved of her symptoms post-surgery.

A 13-year-old adolescent presented with complaints of recurrent episodes of abdominal pain for 9 months and amenorrhea for one year. An ultrasonography was advised which was suggestive of a right-sided endometriotic cyst of around 5cm with a differential diagnosis of bicornuate uterus, for better tissue delineation, MRI was advised.

Interestingly, her MRI was suggestive of a unicornuate uterus with a possibility of rudimentary right horn that was non-communicating comprising of a hemorrhagic collection in the horn and right sided hematosalphinx.

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