{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T21:40:09Z","timestamp":1776980409329,"version":"3.51.4"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"vor","delay-in-days":0,"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":[[2024,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>This study aimed to characterize unicornuate uterus with noncommunicating horns, an uncommon M\u00fcllerian abnormality. With a 0.06 % incidence rate, this disorder can lead to endometriosis linked to retrograde menstruation or hematometra, which can cause significant pelvic pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 39-year-old woman with chief complaints of severe dysmenorrhea for five years. Despite receiving hormone therapy, the patient's symptoms persisted. She has only one living child born at laparotomy for an abdominal pregnancy 19 years ago. Upon ultrasound inspection, a 2.8 \u00d7 3 cm endometrioma was the only finding. Prior to her laparoscopic procedure, the woman had a unicornuate uterus on her right side with a normal cervix, and also a non-communicating hemiuterus in her left horn that had burst due to adhesion separation and was leaking chocolate fluid. On the left side, there was also a 3 \u00d7 3 cm endometrioma. Following that, a laparoscopic hysterectomy was carried out.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Although misread occasionally, the correct diagnosis of a unicornuate uterus with a noncommunicating horn is clinically important. The history of this patient's abdominal pregnancy may have developed in the rudimentary horn after sperm or fertilized eggs moved trans peritoneally, with life-threatening consequences if ruptured. This patient developed severe dysmenorrhea after receiving hormonal therapy, possibly caused by a noncommunicating left horn uterine hematometra and endometrioma. In this case, a laparoscopic hysterectomy was afterward chosen due to the patient's request according to her symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Unicornuate uterine with non-communicating horns is scarce however may cause severe complications. Considered a treatment to prevent related morbidity, laparoscopy is necessary to affirm the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical abstract<\/jats:title>\n                    <jats:p>JOURNAL\/ijscr\/04.03\/01612930-202404000-00004\/figure1\/v\/2026-04-23T194630Z\/r\/image-jpeg<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109435","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T12:28:48Z","timestamp":1709123328000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Unidentified chronic pelvic pain due to hematometra non-communicating left horn uterus unicornuate with history of abdominal pregnancy"],"prefix":"10.1097","volume":"117","author":[{"given":"Arinil","family":"Haque","sequence":"first","affiliation":[{"name":"Residence, Department of Obstetric and gynecologic, Faculty of Medicine, Airlangga University, Dr. Soetomo Hospital Surabaya, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimmy Yanuar","family":"Annas","sequence":"additional","affiliation":[{"name":"Fertility Divison Staff, Obstetric and gynecologic Airlangga, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-4-20260423","doi-asserted-by":"crossref","first-page":"48","DOI":"10.5144\/0256-4947.2004.48","article-title":"Unicornuate uterus with a non-communicating functioning rudimentary horn, associated with ipsilateral renal agenesis","volume":"24","author":"Al Hakeem,","year":"2004","journal-title":"Ann. Saudi Med."},{"key":"R2-4-20260423","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1016\/j.fertnstert.2021.09.025","article-title":"ASRM m\u00fcllerian anomalies classification 2021","volume":"116","author":"Pfeifer,","year":"2021","journal-title":"Fertil. Steril."},{"key":"R3-4-20260423","doi-asserted-by":"crossref","first-page":"2032","DOI":"10.1093\/humrep\/det098","article-title":"The ESHRE\/ESGE consensus on the classification of female genital tract congenital anomalies","volume":"28","author":"Grimbizis,","year":"2013","journal-title":"Hum. Reprod."},{"key":"R4-4-20260423","doi-asserted-by":"crossref","first-page":"2172","DOI":"10.15562\/bmj.v12i2.3649","article-title":"Transverse vaginal septum: a case report","volume":"12","author":"Nora,","year":"2023","journal-title":"Bali Med. J."},{"key":"R5-4-20260423","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1055\/s-0037-1607046","article-title":"Pregnancy in non-communicating unicornuate uterus: diagnosis difficulty and outcomes - a case report","volume":"39","author":"de Souza,","year":"2017","journal-title":"Rev. Bras. Ginecol. Obstet."},{"key":"R6-4-20260423","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1186\/s12905-019-0768-4","article-title":"Unicornuate uterus with a rudimentary non-communicating cavitary horn in association with VACTERL association: case report","volume":"19","author":"Obeidat,","year":"2019","journal-title":"BMC Womens Health"},{"key":"R7-4-20260423","doi-asserted-by":"crossref","DOI":"10.7759\/cureus.11419","article-title":"Laparoscopic approach towards non-communicating functional rudimentary uterine horn: a report of two cases","author":"Begum,","year":"2020","journal-title":"Cureus"},{"key":"R8-4-20260423","article-title":"Torsion and rupture of a non-communicating rudimentary horn in a 17-week gestation in a 16-year-old girl: lessons learnt","volume":"2018","author":"Kumar,","year":"2018","journal-title":"BMJ Case Rep."},{"key":"R9-4-20260423","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-021-04195-5","article-title":"Successful pregnancy and term delivery after treatment of unicornuate uterus with non-communicating rudimentary horn pregnancy with local methotrexate injection followed by laparoscopic resection: a case report and literature review","volume":"21","author":"Ueda,","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"R10-4-20260423","article-title":"Karakteristik Dismenore pada Pasien Endometriosis di RSUD Dr. Soetomo Surabaya","volume":"9","author":"Ariviani,","year":"2021","journal-title":"Care"},{"key":"R11-4-20260423","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/S1472-6483(10)60992-3","article-title":"Laparoscopic management of unicornuate uterus with non-communicating rudimentary horn (three cases)","volume":"12","author":"Theodoridis,","year":"2006","journal-title":"Reprod. Biomed. Online"},{"key":"R12-4-20260423","first-page":"141","article-title":"A case of functioning non communicating rudimentary horn with unicornuate uterus: an unusual cause of secondary dysmenorrhea in a perimenopausal woman","volume":"9","author":"Shweta,","year":"2020","journal-title":"GJRA Glob. J. Res. Anal."},{"key":"R13-4-20260423","first-page":"455","article-title":"Case report of surgical excision of non-communicating rudimentary horn of uterus present in adolescent with dysmenorrhea, open","volume":"05","author":"Alshahrani,","year":"2015","journal-title":"J. Obstet. Gynecol."},{"key":"R14-4-20260423","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1159\/000519872","article-title":"Unicornuate uterus with rudimentary horn as a rare etiology of Secondary dysmenorrhea: a case report","volume":"5","author":"Nagshabandi,","year":"2021","journal-title":"Dubai Med. J."},{"key":"R15-4-20260423","first-page":"124","article-title":"Impact of lifestyle and diet on endometriosis: a fresh look to a busy corner","volume":"21","author":"Habib,","year":"2022","journal-title":"Przeglad Menopauzalny"},{"key":"R16-4-20260423","first-page":"208","article-title":"Rapid recurrence of unilateral endometrioma in a teenager with a noncommunicating rudimentary horn and unicornuate uterus, open","volume":"04","author":"Mart\u00ednez-Varea,","year":"2014","journal-title":"J. Obstet. Gynecol."},{"key":"R17-4-20260423","doi-asserted-by":"crossref","first-page":"2515","DOI":"10.3390\/healthcare10122515","article-title":"Clinical diagnosis and early medical management for endometriosis: consensus from Asian Expert Group","volume":"10","author":"Kim,","year":"2022","journal-title":"Healthcare"},{"key":"R18-4-20260423","first-page":"171","article-title":"Unicornuate uterus with rudimentary horn and complicated with endometriosis","volume":"1","author":"Wijaya,","year":"2016","journal-title":"Indonesian J. Obstetr. Gynecol."},{"key":"R19-4-20260423","first-page":"378","article-title":"Diagnostic and laparoscopic management of unicornuate uterus with rudimentary horn","volume":"3","author":"van Doorn,","year":"2014","journal-title":"Case Rep. Clin. Med."},{"key":"R20-4-20260423","doi-asserted-by":"crossref","DOI":"10.7759\/cureus.32640","article-title":"A unique case of Unicornuate uterus with a non-communicating rudimentary horn and Hematometra","author":"Ladke,","year":"2022","journal-title":"Cureus"},{"key":"R21-4-20260423","first-page":"1","article-title":"Co-existence of a rudimentary non-communicating horn with a Unicornuate uterus in association with 2 components of the VACTERL association: a case report","author":"Roman,","year":"2021","journal-title":"Case Rep. Obstetr. Gynecol. Reprod."},{"key":"R22-4-20260423","doi-asserted-by":"crossref","first-page":"241","DOI":"10.3109\/13645701003644491","article-title":"Diagnosis and laparoscopic management of a rudimentary uterine horn in a teenage girl, presenting with haematometra and severe endometriosis: our experience and review of literature","volume":"19","author":"Liatsikos,","year":"2010","journal-title":"Minim. Invasive Ther. Allied Technol."},{"issue":"2023","key":"R23-4-20260423","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224002165?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224002165?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109435","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T21:01:34Z","timestamp":1776978094000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109435"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":23,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.109435","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,4]]},"assertion":[{"value":"2023-12-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}