A delayed therapy of dysmenorrhea due to noncommunicating rudimentary horn and unicornuate uterus: Case report and review of the literature

Although asymptomatic cases naturally occur, congenital mullerian abnormalities can present with infertility, menstrual irregularity and recurrent pregnancy loss. Women with normal reproductive outcomes and recurrent pregnancy loss exhibit approximately 2-4% and 5-10% incidence of various congenital mullerian abnormalities. Following septate uterus, bicornuate uterus and arcuate uterus, unicornuat uterus is the fourth most frequent congenital uterine abnormality seen in a combined population of infertile and fertile women. Unicornuate uterus with a non-communicating functional rudimentary horn is a type of mullerian anomaly and is a rare cause of dysmenorrhea. Here, we presented a case of this kind of abnormality and discussed the management strategies in the light of the literature.