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Rapid Recurrence of Unilateral Endometrioma in a Teenager with a Noncommunicating Rudimentary Horn and Unicornuate Uterus

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DOI: 10.4236/ojog.2014.44034    3,064 Downloads   3,897 Views  


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.

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The authors declare no conflicts of interest.

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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.


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