Rabeea Khan, Raisa Altaf Malik, Bushra Rehan, Mahum Zaidi.
Primary dysmenorrhea due to mullerian duct anomaly . a diagnostic challenge in radiology.
Pak J Radiol Jan ;32(1):40-5.

Mullerian duct dysgenesis results in various congenital anomalies including unicornuate uterus with a rudimentary functional horn. This is a rare congenital anomaly with a frequency of 1/100,000 (1) . However the true incidence and imaging findings are largely undiscussed as according to studies only symptomatic cases are reported (4) . Unicornuate uterus has an impact on the fertility of young females. Most commonly presenting with dysmenorrhea, dyspareunia, endometriosis, hematometra, UTI in severe cases torsion of the rudimentary horn (2) . Keeping in view the anatomical variations of unicornuate uterus, the various symptoms associated with it and fewer literature on this topic we present the imaging findings of a young female who presented to the emergency department with severe lower abdominal pain and a palpable mass. On imaging she had a unicornuate uterus with a non-communicating functional rudimentary horn.

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