非交通性右子宫角的延迟诊断：一例报告和文献复习

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Women's Health Pub Date : 2023-09-01 DOI:10.1016/j.crwh.2023.e00535

Lindsay A. Hartup , Katherine E. Kostroun , Belinda J. Yauger

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引用次数: 0

摘要

背景准确诊断米勒氏畸形对于并发症的适当管理和预防至关重要。然而，诊断往往被遗漏或延误。病例这是一例未产妇在36岁时被诊断为米勒氏异常，尽管之前通过超声和腹腔镜进行了评估。磁共振成像（MRI）显示一个独角形子宫，右侧有一个不连通的初级角。宫腔镜检查和色管检查证实了诊断。利用双极能量腹腔镜切除了发育不全的角。结论在持续性痛经的情况下，应考虑未确诊的米勒异常。在顽固性痛经患者或超声引起米勒异常时，应明智地使用三维超声或MRI。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review

Background

Accurate diagnosis of a müllerian anomaly is essential for appropriate management and prevention of complications. However, diagnosis is often missed or delayed.

Case

This is a case of a nulliparous woman with a müllerian anomaly diagnosed at the age of 36 despite prior evaluation with ultrasound and laparoscopy. Magnetic resonance imaging (MRI) suggested a unicornuate uterus with a right non-communicating rudimentary horn. Hysteroscopy and chromopertubation confirmed the diagnosis. The rudimentary horn was resected laparoscopically using bipolar energy.

Conclusion

An undiagnosed müllerian anomaly should be considered in the setting of persistent dysmenorrhea. Three-dimensional ultrasound or MRI should be used judiciously in patients with refractory dysmenorrhea or when ultrasound raises concern for a müllerian anomaly.

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