Laparoscopic management of a cavitated non-communicating rudimentary uterine horn of a unicornuate uterus: a case report
Epublication WebSurg.com, Sep 2014;14(09). URL: http://websurg.com/doi/vd01en4341
Introduction: A unicornuate uterus with a cavitated non-communicating rudimentary uterine horn is one of the most uncommon uterine anomalies of the female genital tract. It has an estimated frequency of 1 in 100,000 among the fertile female population. This anomaly results from the abnormal maturation of one Müllerian duct with the normal development of the contralateral one. Case: This video describes the laparoscopic diagnosis and management of a unicornuate uterus with a left cavitated non-communicating rudimentary uterine horn in a 27-year old woman who presented with lower abdominal pain and severe dysmenorrhea. She was submitted to a preoperative imaging study with a MRI, a uro-CT and a CT-scan of the vertebral column. There were no concomitant urinary anomalies and the sagittal CT-scan revealed abnormalities in the development of the terminal portion of the column. A laparoscopic removal of this cavitated non-communicating uterine horn was performed without any complication in the postoperative period. Conclusion: Operative laparoscopy proved to be a successful approach in the treatment of this congenital Müllerian anomaly.