EMBAR

Author:
Dr Sripathi Anusha, Dr Shobha , DR.Goli Mahalaxmi , Dr Renu Sahani ,Dr Tejaswini Potluri , DR.Ayesha Jabeen
MS OBGYN , Senior Resident, Gandhi Hospital

DOI: doi.org/10.58924/rjmp.v4.iss5.p2

Published Date: 05-Dec, 2025

Keywords: Mullerian Duct Anomaly, Uterine Obstruction, Hematosalpinx, Ovarian Cyst Mimic

Abstract:
Mullerian duct anomalies, though rare, can be a treatable cause of pelvic pain and infertility. Various complex Mullerian duct anomalies may exist with combination of features of more than one class. When more than 1 complete or incomplete defect coexists, they lead to formation of a complex anomaly. Here we report a case of an unusual and unclassified complex uterine anomaly and its management. In this case, 16yr old female with normal secondary sexual characteristics presented with acute abdominal pain and primary amenorrhea. Patient was evaluated by sonography and MRI and diagnosed as complex uterine anomaly of unicornate uterus with cervical dysgenesis and non-communicating rudimentary horn with large complex cyst with ovarian origin. There should be an integrated clinico-radiological classification scheme and familiarity with rare and complex anomalies for appropriate diagnosis and management of complex Müllerian duct anomalies. Though many cases of complex Mullerian anomalies have been described so far, this presentation of functioning rudimentary horn separately lying free in peritoneal cavity hasn’t been reported yet, adding to spectrum of complex anomalies.

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