Unicornuate Uterus with Noncommunicating Functional Rudimentary Horn as A Rare Cause of Secondary Dysmenorrhea: A Case Report

Abstract

The female genital tract is formed by the paramesonephric ducts (Mullerian ducts). Most of the time, Paramesonephric ducts do not form properly, fuse together, or are reabsorbed during fetal development, leading to congenital uterine abnormalities. Outflow tract obstruction (hematometra, hematosalpinx), endometriosis, dysmenorrhea, infertility, and chronic pelvic pain are all more common in women with congenital Mullerian anomalies, as are obstetric complications, such as recurrent pregnancy loss, ectopic pregnancies, uterine rupture, preterm labor, malpresentations, and abortions. Dysmenorrhea is a common issue among adolescent girls who seek medical attention at the outpatient clinic due to a congenital uterine anomaly. Since there are multiple presentations and they are difficult to diagnose and manage, this topic remains an interesting field of study in obstetrics and gynecology. A case report of a unicornuate uterus that has noncommunicating functioning rudimentary horn and hematometra. The patient was a young, unmarried woman who presented with significant, acute abdominal pain.