East African Medical Journal

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Bicornuate unicollis uterine Müllerian anomaly with unilateral haematometra in a ten year old: A case report

NA Shatry, RAM Ali, G Sekhar, FX Odawa, RJ Kosegei, AB Kihara, R Wanjohi


Acute abdominal pain is a common complaint in the paediatric age group. Gastroenteritis and appendicitis are the common non-surgical and surgical conditions respectively. Haematometra due to a non-communicating horn of a bicornuate uterus is a rare presentation for acute abdomen in this age group. This is a case of a ten year nine month old female who presented with an acute abdomen for a period of two days. Physical examination revealed right iliac fossa tenderness. Pelvic ultrasound showed a bicornuate unicollis uterine Müllerian anomaly with unilateral haematometra. Magnetic Resonance Imaging (MRI) confirmed the ultrasonographic findings. A successful hemi-hysterectomy was done with resolution of symptoms.

AJOL African Journals Online