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(a) 2D scan read as fibroid with central necrosis. (b, c) Communicating and noncommunicating horns on MRI.
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During these ED encounters, the rudimentary horn was read as a fibroid with central necrosis on ultrasound (Figure 2(a)), and anatomy was reported to not be well visualized on CT scan. Ultimately, with her pain continuing to persist, her general gynecologist ordered an outpatient MRI, which showed a unicornuate uterus with an 8 cm noncommunicating rudimentary right horn (Figures 2(b) and 2(c)).
Intraoperative view of distended noncommunicating horn.
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The rudimentary horn was grossly distended with blood to approximately 9 cm (Figure 3).
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MRI of communicating and noncommunicating horns.
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An MRI with contrast was ordered for definitive diagnosis (Figure 4).
(a) Intraoperative view of distended noncommunicating left horn. (b) Shallow myometrial defect after removal of left horn.
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The rudimentary horn was noted to be distended with blood (Figure 5(a)). At the conclusion of the procedure, the pelvis was irrigated, and the entire pelvis was noted to be hemostatic (Figure 5(b)).