{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:23:02Z","timestamp":1785414182315,"version":"3.56.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T00:00:00Z","timestamp":1580688000000},"content-version":"vor","delay-in-days":33,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The rudimentary noncommunicating horn with a functional endometrial cavity is rare and often challenging to diagnose because of the variety in clinical features. We present a case of a patient for whom the diagnosis of a uterine horn was missed during the prior cesarean section, which later successfully treated with robotic-assisted laparoscopic removal of a rudimentary noncommunicating horn of uterus and ipsilateral tube.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>A 20-year old woman, gravida 3 para 2, presented with a complaint of acute and severe pelvic pain with fever. Multiple imaging modalities of pelvis and abdomen showed an 8 cm right-sided pelvic mass with a tubular structure adjacent to the uterus. The pelvic inflammatory disease was diagnosed and treated with intravenous antibiotics. After reviewing multiple radiology images, M\u00fcllerian anomaly was suspected, and the rudimentary horn with the fallopian tube was confirmed via diagnostic hysteroscopy and laparoscopy. Subsequently, robotic-assisted laparoscopic removal of the right horn with the fallopian tube was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Assessment of a rudimentary noncommunicating horn with unicornuate uterus can be achieved by several radiology methods, including computed tomography, magnetic resonance imaging, two and 3-dimensional ultrasonography, hysterosalpingogram, and sonohysterography. In addition, evaluation of concomitant skeletal and renal anomalies is essential in enhancing diagnostic accuracy. In our case, the M\u00fcllerian anomaly with delayed onset complications was diagnosed by multiple imaging studies and treated successfully.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The early and correct diagnosis of the M\u00fcllerian anomaly remains difficult but essential as misdiagnosis can be associated with serious complications in patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.01.052","type":"journal-article","created":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T16:40:39Z","timestamp":1581439239000},"page":"4-7","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["The infected hematometra in a rudimentary noncommunicating horn misdiagnosed as pelvic mass"],"prefix":"10.1097","volume":"68","author":[{"given":"Michaela","family":"Behrens","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Licata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji-Young","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-2-20260114","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1016\/S0015-0282(16)59942-7","article-title":"The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies, and intrauterine adhesions","volume":"49","author":"Society","year":"1988","journal-title":"Fertil. Steril"},{"key":"R2-2-20260114","first-page":"877","article-title":"Uterine anomalies. How common are they, and what is their distribution among subtypes?","volume":"43","author":"Nahum","year":"1998","journal-title":"J. Reprod. Med"},{"key":"R3-2-20260114","doi-asserted-by":"crossref","first-page":"1456","DOI":"10.1097\/01.AOG.0000161321.94364.56","article-title":"The presentation and early diagnosis of the rudimentary uterine horn","volume":"105","author":"Jayasinghe","year":"2005","journal-title":"Obstet. Gynecol"},{"key":"R4-2-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R5-2-20260114","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/S0015-0282(97)81506-3","article-title":"Unicornuate uterus and rudimentary horn","volume":"68","author":"Heinonen","year":"1997","journal-title":"Fertil. Steril"},{"key":"R6-2-20260114","doi-asserted-by":"crossref","first-page":"219","DOI":"10.7863\/jum.2005.24.2.219","article-title":"Rudimentary horn pregnancy: the first-trimester rupture sonographic diagnosis and confirmation by magnetic resonance imaging","volume":"24","author":"Tsafrir","year":"2005","journal-title":"J. Ultrasound Med"},{"key":"R7-2-20260114","first-page":"92","article-title":"Rudimentary horn pregnancy: prerupture diagnosis and management","volume":"42","author":"Buntugu","year":"2008","journal-title":"Ghana Med. J"},{"key":"R8-2-20260114","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1016\/j.fertnstert.2008.05.086","article-title":"Accuracy of three-dimensional ultrasound in the diagnosis and classification of congenital uterine anomalies","volume":"92","author":"Ghi","year":"2009","journal-title":"Fertil. Steril"},{"key":"R9-2-20260114","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1111\/j.1447-0756.2006.00354.x","article-title":"Accurate preoperative diagnosis and laparoscopic removal of the cavitated non-communicated uterine horn for obstructive Mullerian anomalies","volume":"32","author":"Takeuchi","year":"2006","journal-title":"J. Obstet. Gynaecol. Res"},{"key":"R10-2-20260114","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.fertnstert.2004.07.966","article-title":"Laparoscopic removal of the cavitated noncommunicating rudimentary horn: surgical aspects in 10 cases","volume":"83","author":"Fedele","year":"2005","journal-title":"Fertil. Steril"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220300675?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220300675?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.01.052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:05:49Z","timestamp":1768395949000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.01.052"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.01.052","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}