LATE-ONSET HEMATOMETRA AND HEMATOSALPINX IN A WOMAN WITH A NONCOMMUNICATING UTERINE HORN - A CASE-REPORT

BACKGROUND: Noncommunicating uterine horns are rare, occasionally pres enting with functional endometrial cavities. Surgical removal of the n oncommunicating hoot is commonly performed to prevent endometriosis in these patients. CASE: A 41-year-old woman with a unicornuate uterus a nd noncommunicating uterine horn presented with a three-month history of right-sided pelvic pain. She had previously undergone multiple assi sted reproductive technique attempts with superovulation and supraphys iologic serum estradiol levels and no apparent symptomatology or evide nce of hematosalpinx during laparoscopy. Shortly after completing a do nor oocyte recipient cycle, she developed acute right-sided pelvic pai n. Diagnostic laparoscopy and subsequent laparotomy confirmed a right hematosalpinx and hematometra of the noncommunicating horn, with stage III endometriosis. CONCLUSION: Consideration of prophylactic resectio n of a noncommunicating uterine horn with a cavity should be considere d in an asymptomatic, reproductive-age patient with this rare mulleria n anomaly.