title: Laparoscopic management of a unicornuate uterus with two cavitated, non-communicating rudimentary horns: case report.
abstract: An 18 year old nulligravid woman presented with severe dysmenorrhoea secondary to stage IV (revised American Fertility Society) endometriosis, right haematosalpinx, right endometrioma, unicornuate uterus and two cavitated, non-communicating rudimentary uterine horns. To our knowledge, this is the first reported case of a unicornuate uterus accompanied by two rudimentary horns. Operative video-laparoscopy proved a successful approach for treating this previously unreported variant of congenital Müllerian anomaly. A review of the world literature confirms the uniqueness of this case while demonstrating laparoscopy to be a viable alternative to laparotomy for management of congenital Müllerian anomalies. The case presented may help to elucidate Müllerian duct embryology further.
authors.affiliation: Department of Gynecology and Obstetrics, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA.
authors.forename: C R
authors.initials: CR
authors.lastname: Nezhat
authors.forename: K S
authors.initials: KS
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D009095:Mullerian Ducts / Q000002:abnormalities*; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*