Although asymptomatic cases naturally occur, congenital mullerian abnormalities can present with infertility, menstrual irregularity and recurrent pregnancy loss. Women with normal reproductive outcomes and recurrent pregnancy loss exhibit approximately 2-4% and 5-10% incidence of various congenital mullerian abnormalities. Following septate uterus, bicornuate uterus and arcuate uterus, unicornuat uterus is the fourth most frequent congenital uterine abnormality seen in a combined population of infertile and fertile women. Unicornuate uterus with a non-communicating functional rudimentary horn is a type of mullerian anomaly and is a rare cause of dysmenorrhea. Here, we presented a case of this kind of abnormality and discussed the management strategies in the light of the literature.

Authors: Ali Sami Gurbuz, Necati Ozcimen, Emel Ebru Ozcimen, Ahmet Salvarci, Serdar Altunay

Key Words: Dysmenorrhea, mullerian anomaly, unicornuate uterus, rudimentary horn