Laparoscopic management of non-communicating rudimentary horn in a dysmenorrheic and infertile patient.

Autor: Saleh AM; Department of Obstetrics and Gynecology, King Fahad National Guard Hospital, PO Box 1011, Riyadh 11431, Kingdom of Saudi Arabia. drsaleh2002@hotmail.com, Sultan SF, Al-Jawad HM, Al-Ghazali SD, Al-Shalahi NJ
Jazyk: angličtina
Zdroj: Saudi medical journal [Saudi Med J] 2003 Feb; Vol. 24 (2), pp. 206-8.
Abstrakt: A case of laparoscopic excision of non-communicating rudimentary horn. The anatomical features of this case were unique. A 19-year-old nulligravida presented with severe dysmenorrhea and primary infertility. Hysterosalpingogram revealed a left uterine horn that had a solitary patent tube. Magnetic resonance imaging showed a left unicornuate uterus continuous with the cervix and the vagina, and a rudimentary right uterine horn. This confirmed the diagnosis of non-communicating cavitated right rudimentary horn. At laparoscopy the patient had stage III endometriosis, and non-communicating right rudimentary horn, which was attached to the unicornuate uterus by a long fibrous band. The rudimentary horn was freed from the pelvic side wall, excised and removed laparoscopically with no complication.
Databáze: MEDLINE