TITLE:
Diagnostic and Laparoscopic Management of Unicornuate Uterus with Rudimentary Horn
AUTHORS:
Els van Doorn, Rainer Kimmig, Bahriye Aktas
KEYWORDS:
Unicornuate Uterus, Rudimentary Horn, Diagnostic and Laparoscopic Management, Endometriosis, Retrograde Menstruation
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.6,
June
24,
2014
ABSTRACT: We describe here a case report
of a female patient with a unicornuate uterus with noncommunicating left
rudimentary horn. The patient presented herself to us due to persistent lower
abdominal pains, primarily dysmenorrhea and suspected internal genital endometriosis.
Further to additional diagnosis and imaging by vaginal and abdominal
ultrasound and abdominal MRI, a suspected rare congenital malformation of the
genital tract was established. A normal vagina with cervical system without
pathological findings was presented during the operation. The diagnostic
hysteroscopy and laparoscopy indicated an intact right unicornuate uterus with
a regular tube and ovary. A left rudimentary horn, noncommunicating with cervix
and vagina was also presented, also together with a regular tube and ovary. The
chromopertubation carried out proved the patency of the right tube. The
decision was taken intraoperatively to remove the left rudimentary horn with
ipsilateral tube. The surgery could be carried out without complications. We
are reporting a patient with persistent lower abdominal pain, who desires to
have children, to conceive with a unicornuate uterus and left rudimentary horn
with retrograde menstruation and proliferative endometrium. Surgical minimal
invasive treatment by laparoscopically removing of the left rudimentary horn
and tube took place.