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

Autor:	Antonio Abad-Carrascosa, Vicente Payá-Amate, Gema Higueras-García, José María Rubio-Rubio, Alicia Martínez-Varea, Rafael Romaguera-Torregrosa, José María Vila-Vives
Rok vydání:	2014
Předmět:	Ovarian Endometrioma medicine.medical_specialty medicine.diagnostic_test business.industry Endometriosis Magnetic resonance imaging Unicornuate uterus Emergency department medicine.disease Surgery Menstruation Hysteroscopy medicine Right Fallopian Tube business
Zdroj:	Open Journal of Obstetrics and Gynecology. :208-211
ISSN:	2160-8806 2160-8792
DOI:	10.4236/ojog.2014.44034
Popis:	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 mullerian 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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::8a9648032dcd9a8121bca58c00626f15 https://doi.org/10.4236/ojog.2014.44034 Zobrazit plný text záznamu