Hemiuterus with functional non-communicating horn in a young female

Abstract Background Mullerian duct anomalies are a broad spectrum of congenital the female genital tract presenting with variable symptoms like infertility, amenorrhoea, dysmenorrhea, pelvic endometriosis, and poor obstetric outcomes. Unicornuate uterus or hemiuterus occurs as result abnormal formation failure contralateral part. Case presentation We present rare case report functional non-communicating horn along hematometra in 15-year-old who presented severe dysmenorrhoea since her menarche. Pelvic Ultrasonography demonstrated inconclusive findings heterogenous lesion right cavity adjacent to uterus. Further, MRI revealed on left side normal endometrial well-defined side. The diagnosis European Society Human Reproduction (ESHRE) Classification U4a uterine anomaly (left side) was established. Conclusions ESHRE Class comprises rudimentary horn. This is considered clinically significant it may lead further complications, such ectopic pregnancy Hence, correct identification this entity essential laparoscopic removal current recommended management.