Unicornuate uterus with hematometra in non-communicating contralateral rudimentary horn
Diagnosis certain
Presentation
Abdominal pain and distension from 6 months
Patient Data
Age: 15 years
Gender: Female
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Uterus is a unicornuate with right rudimentary horn and single cervix showing communication with the left horn. The left horn of the uterus shows a normal endomyometrial junctional zone. The right horn of the uterus shows a distended endometrial cavity showing a heterogenous signal with layering of fluid suggestive of hematometra. Bilateral ovaries are normal.
Case Discussion
Final diagnosis - Unicornuate uterus with non-communicating contra-lateral rudimentary horn containing endometrium and resultant hematometra (mullerian duct anomaly class II A1b)