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Presentation of a müllerian anomaly with outflow obstruction after tubal ligation
K Robischon1, D A Baram, W R Phipps
1Department of Obstetrics-Gynecology, University of Rochester, New York,USA.
Objective:
To report an unusual presentation of a patient with unicornuate uterus and a noncommunicating functional rudimentary horn and discuss related patient management issues.
Setting:
University hospital.
Patient:
A 27-year-old woman who presented with cyclic abdominal pain after a postpartum tubal ligation.
Intervention:
Diagnostic studies followed by a laparotomy and resection of the rudimentary horn.
Results:
Resolution of patient's symptoms.
Conclusions:
Patients with a unicornuate uterus and a rudimentary horn recognized for the first time during a tubal ligation require individualized management depending in part on the precise nature of the horn.
