Noncommunicating accessory uterine cavity.

OBJECTIVE

To report a case of a noncommunicating accessory uterine cavity.

DESIGN

Case report.

SETTING

University-affiliated reproductive endocrinology practice.

PATIENT(S): A 15-year-old nulligravida with increasing dysmenorrhea.

INTERVENTION(S): Pelvic ultrasound, intravenous pyelogram, hysterosalpingogram, laparoscopy, laparotomy, and resection of noncommunicating accessory uterine cavity.

MAIN OUTCOME MEASURE(S): Results of imaging studies, surgical examination, and resection of anomaly.

RESULT(S): Complete resection of accessory cavity and resolution of dysmenorrhea.

CONCLUSION(S): The patient had a müllerian anomaly in which the uterus contained two uterine cavities. One normal uterine cavity with communication to both fallopian tubes was present along with a noncommunicating, accessory uterine cavity.