右侧非交通性子宫角的延迟诊断：一例报告及文献综述
Delayed diagnosis of a non-communicating right uterine horn: A case report and literature review.
作者信息
Hartup Lindsay A, Kostroun Katherine E, Yauger Belinda J
机构信息
Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Dr, San Antonio, TX, 78229, San Antonio, TX, United States of America.
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Dr, San Antonio, TX, 78229, San Antonio, TX, United States of America.
出版信息
Case Rep Womens Health. 2023 Aug 10;39:e00535. doi: 10.1016/j.crwh.2023.e00535. eCollection 2023 Sep.
BACKGROUND
Accurate diagnosis of a müllerian anomaly is essential for appropriate management and prevention of complications. However, diagnosis is often missed or delayed.
CASE
This is a case of a nulliparous woman with a müllerian anomaly diagnosed at the age of 36 despite prior evaluation with ultrasound and laparoscopy. Magnetic resonance imaging (MRI) suggested a unicornuate uterus with a right non-communicating rudimentary horn. Hysteroscopy and chromopertubation confirmed the diagnosis. The rudimentary horn was resected laparoscopically using bipolar energy.
CONCLUSION
An undiagnosed müllerian anomaly should be considered in the setting of persistent dysmenorrhea. Three-dimensional ultrasound or MRI should be used judiciously in patients with refractory dysmenorrhea or when ultrasound raises concern for a müllerian anomaly.
背景
准确诊断苗勒管异常对于恰当的治疗和并发症预防至关重要。然而，诊断常常被漏诊或延误。
病例
这是一例未育女性，尽管之前进行了超声和腹腔镜检查，但在36岁时被诊断出苗勒管异常。磁共振成像（MRI）提示为单角子宫合并右侧非交通性残角子宫。宫腔镜检查和输卵管通液术确诊了该诊断。使用双极能量通过腹腔镜切除了残角子宫。
结论
对于持续性痛经的情况，应考虑存在未被诊断的苗勒管异常。对于难治性痛经患者或超声检查引起对苗勒管异常怀疑的患者，应谨慎使用三维超声或MRI。
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