Presentation of a müllerian anomaly with outflow obstruction after tubal ligation.

OBJECTIVE

To report an unusual presentation of a patient with unicornuate uterus and a noncommunicating functional rudimentary horn and discuss related patient management issues.

SETTING

University hospital.

PATIENT: A 27-year-old woman who presented with cyclic abdominal pain after a postpartum tubal ligation.

INTERVENTION: Diagnostic studies followed by a laparotomy and resection of the rudimentary horn.

RESULTS

Resolution of patient's symptoms.

CONCLUSIONS

Patients with a unicornuate uterus and a rudimentary horn recognized for the first time during a tubal ligation require individualized management depending in part on the precise nature of the horn.