Hematometra in rudimentary horn of unicornuate uterus after
Published in the, International Journal of Reproduction, Contraception, Obstetrics and Gynecology, the authors present a case of a unicornuate uterus with non-communicating rudimentary horn with functional endometrium developing hematometra after tubal ligation.

The patient was a 32-year-old female para 2, living 2 and 2 medical termination of pregnancy (P2L2MTP2) presented with severe dysmenorrhea requiring indoor admission treated with parenteral analgesics. Patient had a history of mini laparotomy sterilization 6 months back after which the patient experienced progressively increasing dysmenorrhea over period of 6 months.

Patient was a known case of Mitral stenosis with open mitral commisurotomy performed in childhood. On examination, patient`s vital parameters were stable; abdomen was soft, mild tenderness was appreciated in right iliac fossa, healthy mini laparotomy scar was seen. Per-speculum examination showed cervix and vagina as healthy.

On per vaginal examination, the uterus was anteverted and normal in size. A mass of about 3x3cm soft, mobile, tender was felt in right adnexa separate from uterus. Figure 1: Ultrasonography of pelvis suggestive of hematometra with right sided hydrosalphinx. Ultrasonography (USG) of pelvis and abdomen revealed unicornuate uterus on left side with 6.3x4.5x2.9 cm dimension with right sided rudimentary horn of size 4x3cm with collection in the cavity with echoes suggestive of hematometra with right sided hydrosalphinx close to the right horn (Figure 1).

Both ovaries were normal. Figure 2: 3D ultrasonography of pelvis showing both cornu. 3D ultrasonography revealed unicornuate uterus with rudimentary horn with hematometra with right sided hydrosalphinx (Figure 2).

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