OJOG  Vol.4 No.4 , March 2014
Rapid Recurrence of Unilateral Endometrioma in a Teenager with a Noncommunicating Rudimentary Horn and Unicornuate Uterus
ABSTRACT
A 17-year-old nulligravida woman presented to the emergency department complaining of a six months’ history of severe dysmenorrhea. The patient underwent a laparoscopic excision of a right ovarian endometrioma in another hospital one year ago, 24 months after menarche at 14 years of age. Transvaginal ultrasonography, magnetic resonance imaging, hysteroscopy as well as laparo- scopy revealed a unicornuate uterus with a noncommunicating right rudimentary horn, a dilated right fallopian tube and a novel 40 mm right ovarian endometrioma. An excision of the right fallopian tube, the rudimentary horn and the endometrioma was performed. Since endometriosis may be originated by retrograde menstruation, an obstructive müllerian malformation should be ruled out at the diagnosis of endometriosis, particularly in adolescents. It may lead clinicians to provide an initial definitive treatment for avoidingrapid recurrent endometriosis.

Cite this paper
Martínez-Varea, A. , Payá-Amate, V. , Vila-Vives, J. , Higueras-García, G. , Abad-Carrascosa, A. , Rubio-Rubio, J. and Romaguera-Torregrosa, R. (2014) Rapid Recurrence of Unilateral Endometrioma in a Teenager with a Noncommunicating Rudimentary Horn and Unicornuate Uterus. Open Journal of Obstetrics and Gynecology, 4, 208-211. doi: 10.4236/ojog.2014.44034.
References
[1]   Medeiros. L.R., Rosa, D.D., Silva, F.R., Silva, B.R. and Rosa, M.I. (2011) Laparoscopic Approach of a Unicornuate Uterus with Noncommunicating Rudimentary Horns. ISRN Obstetrics and Gynecology, 2011, 906138. http://dx.doi.org/10.5402/2011/906138

[2]   Agarwal, M., Das, A. and Singh, A.S. (2011) Dysmenorrhea Due to a Rare Mullerian Anomaly. Nigerian Journal of Clinical Practice, 14, 377-379. http://dx.doi.org/10.4103/1119-3077.86788

[3]   Khati, N.J, Frazier, A. A. and Brindle, K.A. (2012) The Unicornuate Uterus and Its Variants. Journal of Ultrasound in Medicine, 31, 319-331.

[4]   Burney, R.O. and Giudice, L.C. (2012) Pathogenesis and Pathophysiology of Endometriosis. Fertility and Sterility, 98, 511-519. http://dx.doi.org/10.1016/j.fertnstert.2012.06.029

[5]   Liatsikos, S.A., Tsikouras, P., Souftas, V., Ammari, A., Prassopoulos, P, Maroulis, G., et al. (2010) Diagnosis and Laparoscopic Management of a Rudimentary Uterine Horn in a Teenage Girl, Presenting with Haematometra and Severe Endometriosis: Our Experience and Review of Literature. Minimally invasive Therapy & Allied Technologies, 19, 241-247. http://dx.doi.org/10.3109/1364570 1003644491

[6]   Atmaca, R., Germen, A.T., Burak, F., Kafkasli, A. (2005) Acute Abdomen in a Case with Noncommunicating Rudimentary Horn and Unicornuate Uterus. JSLS, 9, 235-237.

[7]   Soares, S.R., Martínez-Varea, A., Hidalgo-Mora, J.J. and Pellicer, A. (2012) Pharmacologic Therapies in Endometriosis: A Systematic Review. Fertility and Sterility, 98, 529-555. http://dx.doi.org/10.1016/j. fertnstert.2012.07.1120

[8]   Elliott, J.E., Abduljabar, H. and Morris, M. (2011) Presurgical Management of Dysmenorrhea and Endometriosis in a Patient with Mayer-Rokitansky-Kuster-Hauser Syndrome. Fertility and Sterility, 96, e86-89. http://dx.doi.org/10.1016/j.fertnstert.2011.06.006

 
 
Top