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Case Report
Case of deep infiltrating and cystic endometriosis in a patient with a Müllerian anomaly: Surgical treatment by removing non-communicating horn
1 Fellow Benign Gynecology and Endometriosis, Obstetrics and Gynecology, Jessa Hospital Hasselt, Hasselt, Belgium
2 Medical student, Obstetrics and Gynecology, Jessa Hospital Hasselt, Hasselt, Belgium
3 Gynecologist, Obstetrics and Gynecology, Jessa Hospital Hasselt, Hasselt, Belgium
4 Radiologist, Radiology Department, Jessa Hospital Hasselt, Hasselt, Belgium
Address correspondence to:
Tanne Daniels
Fellow Benign Gynecology and Endometriosis, Obstetrics and Gynecology, Jessa Hospital Hasselt, Hasselt,
Belgium
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Article ID: 100197Z08TD2025
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How to cite this article
Daniels T, Moelans K, Verguts J, Bielen J. Case of deep infiltrating and cystic endometriosis in a patient with a Müllerian anomaly: Surgical treatment by removing non-communicating horn. J Case Rep Images Obstet Gynecol 2025;11(1):42–47.ABSTRACT
Introduction: Endometriosis has a higher incidence in patients with Müllerian anomalies due to the increased likelihood of retrograde menstruation. This case presents unique challenges due to the diverse morphologies seen in Müllerian anomalies. Therefore, accurate and timely preoperative diagnosis is essential to optimize pain management and fertility outcomes.
Case Report: This case report presents the case of a 31-year-old patient with grade 4 endometriosis and a Müllerian anomaly, which resulted in the surgical treatment of the non-communication horn as well as the diseased ovary.
Conclusion: This case exemplifies the challenges seen in with Müllerian anomaly-associated endometriosis, such as diagnostic delay and intricacy of surgical treatment options. This case highlights the importance of early intervention and a multidisciplinary approach. Increased awareness of endometriosis in patients with Müllerian anomalies among healthcare providers can improve outcomes and minimize complications.
Keywords: Cystic endometriosis, Endometriosis, Horn excision, Müllerian anomaly
SUPPORTING INFORMATION
Author Contributions
Tanne Daniels - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Kaat Moelans - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Jasper Verguts - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Jurgen Bielen - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Tanne Daniels et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
