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Case 68 - A 23-Year-Old Woman with Cyclic Pelvic Pain and Suspected Obstructed Rudimentary Uterine Horn

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 23-year-old nulligravid woman presents to your office with worsening cyclic pelvic pain for the past four years. The pain occurs a few days prior to the onset of menses and continues for five to seven days after menses commences. She describes the pain as constant, cramping, worse on the right and unrelenting. She has associated nausea and low back pain. Occasionally she can get partial relief with non-steroidal anti-inflammatory drugs, but these have become less effective over time. She is sexually active but has most recently been unable to tolerate intercourse due to deep pain. She has never used any form of hormonal contraception. She has no past medical or surgical history. She takes ibuprofen as needed and is allergic to penicillin (rash).

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 206 - 208
Publisher: Cambridge University Press
Print publication year: 2021

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References

Management of acute obstructive uterovaginal anomalies: ACOG Committee Opinion, Number 779. Obstet Gynecol 2019; 133(6): e363–71.Google Scholar
Epelman, M, Dinan, D, Gee, M, et al. Mullerian duct and related anomalies in children and adolescents. Magn Reson Imaging Clin N Am 2013; 21: 773–89.CrossRefGoogle ScholarPubMed
Olpin, J, Moeni, A, Willmore, R, Heilbrun, M. MR imaging of Müllerian fusion anomalies. Magn Reson Imaging Clin N Am 2017; 25: 563–75.CrossRefGoogle ScholarPubMed
The American Fertility Society. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril 1988; 49(6): 944–55.Google Scholar
Jayasinghe, Y, Rane, A, Stalewski, H, Grover, S. The presentation and early diagnosis of the rudimentary uterine horn. Obstet Gynecol 2005; 105(6): 1456–67.CrossRefGoogle ScholarPubMed
Emans, JS, Laufer, MR. Emans, Laufer, Goldstein’s Pediatric and Adolescent Gynecology, 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.Google Scholar
Pitot, M, Bookwalter, C, Duiak, K. Müllerian duct anomalies coincident with endometriosis: a review. Abdom Radiol (NY) 2020; 45: 1723–40.Google ScholarPubMed
Sönmezer, M, Taskin, S, Atabekoğlu, C, Güngör, M, Ünlü, C. Laparoscopic management of rudimentary uterine horn pregnancy: case report and literature review. JSLS 2006; 10: 396–9.Google ScholarPubMed

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