{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T14:59:28Z","timestamp":1793545168666,"version":"4.5.0"},"reference-count":17,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,13]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>Common causes of pelvic pain are primary dysmenorrhoea, M\u00fcllerian duct anomalies, outflow obstruction, leiomyoma, endometriosis and adenomyosis. Unicornuate uterus with a rudimentary horn is a rare congenital malformation of the female genital tract, asymptomatic because of lack of functional endometrium. This study presents a rare case of a non-communicating functional rudimentary horn. A 16-year-old unmarried Yemeni female adolescent with a history of irregular painful menstrual period visited Obstetrics and Gynaecology outpatient clinic. Pelvic ultrasound was conducted showing an asymmetrical uterine configuration with the non-communicating rudimentary horn on the right side. Laparoscopic excision of the horn was planned for the patient. Non-communicating rudimentary horn with functional endometrium should be considered as a differential diagnosis in the female adolescent with obstructive uterine symptoms. Early diagnosis is crucial. Using the laparoscopic approach, an expert surgeon prefers definitive management to excise the rudimentary horn.<\/jats:p>","DOI":"10.1136\/bcr-2021-242874","type":"journal-article","created":{"date-parts":[[2021,8,26]],"date-time":"2021-08-26T12:45:54Z","timestamp":1629981954000},"page":"e242874","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Unicornuate uterus with a functional non-communicating horn in adolescent"],"prefix":"10.1136","volume":"14","author":[{"given":"Rawan Abdulrahim","family":"A Jalil","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Bahrain Defence Force Hospital, Manama, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abeer Isa","family":"Alsada","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Bahrain Defence Force Hospital, Manama, Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,8,26]]},"reference":[{"key":"2025082722221198000_14.8.e242874.1","doi-asserted-by":"crossref","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":"2025082722221198000_14.8.e242874.2","doi-asserted-by":"crossref","DOI":"10.2147\/IJWH.S75637","article-title":"Mayer-Rokitansky-Kuster-Hauser syndrome: a review","volume":"865","author":"Londra","year":"2015","journal-title":"Int J Womens Health"},{"key":"2025082722221198000_14.8.e242874.3","doi-asserted-by":"crossref","first-page":"319","DOI":"10.7863\/jum.2012.31.2.319","article-title":"The unicornuate uterus and its variants","volume":"31","author":"Khati","year":"2012","journal-title":"J Ultrasound Med"},{"key":"2025082722221198000_14.8.e242874.4","doi-asserted-by":"crossref","unstructured":"Madhu AR , Shipra K . A case of Non-Communicating uterine horn containing functional endometrium. Gynecol Obstet 2015;05.doi:10.4172\/2161-0932.1000320","DOI":"10.4172\/2161-0932.1000320"},{"key":"2025082722221198000_14.8.e242874.5","doi-asserted-by":"crossref","unstructured":"Yadav R , Srivastava A . Intractable dysmenorrhea in adolescent: a series of two cases of laparoscopic rudimentary horn excision. JCR 2019:15\u201318.doi:10.17659\/01.2019.0005","DOI":"10.17659\/01.2019.0005"},{"key":"2025082722221198000_14.8.e242874.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000161321.94364.56"},{"key":"2025082722221198000_14.8.e242874.7","first-page":"235","article-title":"Acute abdomen in a case with noncommunicating rudimentary horn and unicornuate uterus","volume":"9","author":"Atmaca","year":"2005","journal-title":"Journal of the Society of Laparoendoscpic Surgeons"},{"key":"2025082722221198000_14.8.e242874.8","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/der471"},{"key":"2025082722221198000_14.8.e242874.9","doi-asserted-by":"crossref","DOI":"10.5812\/ircmj.19351","article-title":"Functional rudimentary horn as a rare cause of pelvic pain: a case report","volume":"16","author":"Arab","year":"2014","journal-title":"Iran Red Crescent Med J"},{"key":"2025082722221198000_14.8.e242874.10","doi-asserted-by":"crossref","first-page":"1957.e11","DOI":"10.1016\/j.fertnstert.2008.12.140","article-title":"VATER\/VACTERL syndrome (vertebra\/anus\/cardiac\/trachea\/esophogus\/radius\/renal\/limb anomalies) with a noncommunicating functioning uterine horn and a unicornuate uterus: a case report","volume":"91","author":"Nunes","year":"2009","journal-title":"Fertil Steril"},{"key":"2025082722221198000_14.8.e242874.11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5402\/2011\/906138","article-title":"Laparoscopic approach of a unicornuate uterus with noncommunicating rudimentary horns","volume":"2011","author":"Medeiros","year":"2011","journal-title":"ISRN Obstet Gynecol"},{"key":"2025082722221198000_14.8.e242874.12","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-197805000-00010"},{"key":"2025082722221198000_14.8.e242874.13","first-page":"151","article-title":"Rudimentary uterine horn pregnancy. The 20th-century worldwide experience of 588 cases","volume":"47","author":"Nahum","year":"2002","journal-title":"J Reprod Med"},{"key":"2025082722221198000_14.8.e242874.14","doi-asserted-by":"crossref","DOI":"10.4103\/1119-3077.187317","article-title":"A case of rudimentary horn pregnancy diagnosed after failed attempts at pregnancy termination","volume":"20","author":"Yildirim","year":"2017","journal-title":"Niger J Clin Pract"},{"key":"2025082722221198000_14.8.e242874.15","unstructured":"Berek JS . Pelvic Pain and Dysmenorrhea. In: Berek D , ed. Berek & Novak\u2019s Gynecology. Lippincott Williams & Wilkins, 2012: 470\u2013504."},{"key":"2025082722221198000_14.8.e242874.16","unstructured":"Fotedar S , Raje S , et al . A rare case of non communicating rudimentary horn with unicornuate uterus. Pacific Group of e-Journals (PaGe) Annals of Applied Bio-Sciences 2016;3."},{"key":"2025082722221198000_14.8.e242874.17","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-242874","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:22:22Z","timestamp":1756358542000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-242874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":17,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,8,26]]},"published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1136\/bcr-2021-242874"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-242874","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}