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A 41-year-old parous lady presented with complaints of spasmodic pain in right lower abdomen, on and off since 3 years. She had no bowel or bladder complaints. She was married for 19 years. Her previous cycles were regular; however, she had secondary cyclic dysmenorrhoea since 3 years which had now become intolerable. She had been taking analgesics and antispasmodic medications on and off, which were not relieving the pain. She had two normal vaginal deliveries and one caesarean section—her last child birth being 17 years before. She was diagnosed to have single kidney on left side; however, no uterine anomaly was diagnosed at that time. She had undergone laparotomy for evaluation of pelvic pain 15 years back, where a right partial ovariectomy was performed; however, no uterine anomaly was reported in her previous surgical records. She again underwent laparotomy for right-sided tuboovarian mass 3 years back, where a salpingo-oophorectomy was done and biopsy for the same was reported as endometriosis with secondary chronic inflammation. As her dysmenorrhoea was not relieved, she was put on GnRH agonists for 3 months in view of the endometriosis. At present she was on tablet dienogest since 6 months. Her previous scans had reported her to be having a right-sided sub-serous fibroid and a right adnexal mass on two separate occasions. Her vitals, general physical and systemic examination were normal. Abdominal examination was normal; nontender, no organomegaly and on speculum examination a Hemali Tekani is Specialist in the Department of OBG at Manipal Hospital; Gayathri Karthik is HOD and Consultant in the Department of OBG at Manipal Hospital.

Unicornuate Uterus with a Functional Non-communicating Horn in a Parous Woman