Unicornuate uterus with non-communicating rudimentary horn
Unicornuate uterus with rudimentary horn is a rare type of anomaly. The incidence is approximately 1/100,000. Mullerian anomalies are associated with many obstetrical and gynecological complications.

Non-communicating and functional rudimentary horn can cause severe pain in abdomen due to accumulation of the blood causing its distension.

Published in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology, the authors report a case of 25 years old patient with unicornuate uterus with non-communicating rudimentary horn containing functional endometrium presenting with chief complaints of severe pain in lower abdomen associated with multiple episodes of vomiting.

Learning Points:-
• Normally the fusion of two Mullerian ducts occurs to form the uterus, fallopian tube, cervix and proximal two thirds of vagina. Abnormal formation, fusion or resorption of the Mullerian ducts during embryogenesis results in the development of Mullerian duct anomalies

• Rudimentary horn may consist of a functional or nonfunctional endometrium. It can be communicating or non-communicating but in 80-90% of cases, it is noncommunicating.

• Women with this anomaly are susceptible to many obstetric and gynecological complications like infertility, endometriosis, dysmenorrhea, hematometra, frequent first trimester abortions, malpresentation and preterm labour.

• Noncommunicating and functional rudimentary horn can cause severe pain in abdomen due to the hematometra as seen in present case.

Read in detail about the case here: https://pxmd.co/afJos