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Journal of Case Reports
Intractable Dysmenorrhea in Adolescent: A Series of Two Cases of Laparoscopic Rudimentary Horn Excision
Reena Yadav, Astha Srivastava
Department of Obstetrics & Gynecology, Lady Harding Medical College and SSKH, New Delhi, India.
Corresponding Author:
Dr. Astha Srivastava
Email: astha1402@gmail.com
Received: 28-OCT-2018 Accepted: 25-DEC-2018 Published Online: 25-JAN-2019
DOI: http://dx.doi.org/10.17659/01.2019.0005
Background: Mullerian anomalies occur in about 3-10% of females. Women with uterine anomalies are usually asymptomatic unless there is obstruction to menstrual flow, when cyclical pain is experienced. Unicornuate uterus with a non-communicating rudimentary horn with a functioning endometrium is a rare cause of dysmenorrhoea presenting soon after menarche. Case Report:  We report two cases of adolescent female presenting with severe dysmenorrhoea. The first patient had unicornuate uterus with a firmly attached non-communicating rudimentary horn with functional endometrium.  Successful laparoscopic excision of rudimentary horn was done. The second case was also similar to the first one but in this case the rudimentary horn was attached to the other horn with a loose band of tissue and in this case the excision was comparatively easier as compared to the first case which was more challenging. Conclusion: Non-communicating rudimentary horn with functional endometrium should be kept as a differential diagnosis in adolescent girls with dysmenorrhoea and ultrasound suggestive of complex adnexal cyst. 
Keywords : Dysmenorrhoea, Endometrium, Laparoscopy Uterine Anomalies, Uterus.
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