title: Laparoscopic management of a noncommunicating uterine horn in a patient with an acute abdomen.
abstract: 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.
authors.affiliation: Department of Gynecology and Obstetrics, Stanford University School of Medicine, California, USA.
authors.forename: D P
authors.initials: DP
authors.lastname: Amara
authors.forename: F
authors.initials: F
authors.lastname: Nezhat
authors.forename: L
authors.initials: L
authors.lastname: Giudice
authors.forename: C
authors.initials: C
authors.lastname: Nezhat
mesh_terms: 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