CASE REPORT : Unusual management of a non-communicating uterine horn

We report a case of a 15-year-old young single Saudi female, who presented with very scanty periods, increasingly of severe disabling dysmenorrhea and abdominal swelling. Her condition worsened over the last few months before presentation. The patient was clinically examined and fully investigated. An 18×8cm noncommunicating right uterine horn with a small uterine horn connected to the outflow tract was found on investigation. In view of her age and general condition she was managed using a conservative surgical approach, rather than the standard radical excision of the uterine horn. The aim was to ensure a regular proper period in the future, which was achieved at 18 months of follow-up.