Unicornuate Uterus with Hematometra

Introduction : Unicornuate uterus is one less common mullerian anomalies .unicornate uterus with non-communicating rudimentary horn may associated with gynecologic complication such endometrosis,infertility,hematometra,hematosalpix ,chronic pelvic pain and urinary tract abnormality. It has an affect quality of life a patient and morbidity. Case presentation: we report case of 45-year old black woman presenting with unicornate uterus with non-communicating rudimentary horn. The diagnosis was made by two dimensional ultrasound and later confirmed with laparotomy. The removal of rudimentary horn and uterus was removed, upon surgery it found that left kidney was absent .the post-surgery course was smooth and discharged on six post-operative day of surgery. Conclusion: although diagnosis of unicornate uterus difficult clinical ,it possible pick using two dimensional ultrasound with an experienced hand .it should not be forgotten that the possibility associated anomaly of urinary tract anomaly and can present with chronic pelvic pain and abdominal mass.