Laparoscopic management of a noncommunicating uterine horn in a patient with an acute abdomen.
A 13-year-old girl with a history of cloacal anomalies presented with acute abdominal pain. Abdominal ultrasound was not definitive, and vaginal probe ultrasound was precluded by the patient's stenotic vagina. Magnetic resonance imaging delineated a left hematometra and hematosalpinx as well as a more normal-appearing right hemiuterus. Operative laparoscopy was used to lyse the extensive pelvic adhesions in a patient with a history of an imperforate anus and to resect a left rudimentary uterine horn with outflow obstruction. A review of cases in the world literature reveals that operative laparoscopy can be used to treat these patients successfully.
Amara
D P
DP
Department of Gynecology and Obstetrics, Stanford University School of Medicine, California, USA.
Nezhat
F
F
Giudice
L
L
Nezhat
C
C
D000006:Abdomen, Acute / Q000209:etiology; D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery