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We describe here a case reportof a female patient with a unicornuate uterus with noncommunicating leftrudimentary horn. The patient presented herself to us due to persistent lowerabdominal pains, primarily dysmenorrhea and suspected internal genital endometriosis.Further to additional diagnosis and imaging by vaginal and abdominalultrasound and abdominal MRI, a suspected rare congenital malformation of thegenital tract was established. A normal vagina with cervical system withoutpathological findings was presented during the operation. The diagnostichysteroscopy and laparoscopy indicated an intact right unicornuate uterus witha regular tube and ovary. A left rudimentary horn, noncommunicating with cervixand vagina was also presented, also together with a regular tube and ovary. Thechromopertubation carried out proved the patency of the right tube. Thedecision was taken intraoperatively to remove the left rudimentary horn withipsilateral tube. The surgery could be carried out without complications. Weare reporting a patient with persistent lower abdominal pain, who desires tohave children, to conceive with a unicornuate uterus and left rudimentary hornwith retrograde menstruation and proliferative endometrium. Surgical minimalinvasive treatment by laparoscopically removing of the left rudimentary hornand tube took place.



KEYWORDS

Unicornuate Uterus, Rudimentary Horn, Diagnostic and Laparoscopic Management, Endometriosis, Retrograde Menstruation

Cite this paper

Doorn, E. , Kimmig, R. and Aktas, B. 2014 Diagnostic and Laparoscopic Management of Unicornuate Uterus with Rudimentary Horn. Case Reports in Clinical Medicine, 3, 378-381. doi: 10.4236-crcm.2014.36084.





Autor: Els van Doorn, Rainer Kimmig, Bahriye Aktas

Fuente: http://www.scirp.org/



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