Laparoscopic ultrasonography for uterovaginal canalization of a didelphic uterus with agenetic cervix.
Mullerian duct anomaly is often characterized by any of a number of disorders of the outflow tract and uterus. A 17-year-old woman suffered from cyclic lower abdominal pain for 3 years. Pelvic examination showed a small uterus with blind-ended vaginal canal about 3 cm in length. Three-dimensional pelvic ultrasonography showed a compact uterine corpus with fundal notch regarded as bicornuate uterus, and no evidence of uterine cervix. The same features were also proved by magnetic resonance imaging. Intraoperative ultrasonography showed a small uterine cavity, and uterovaginal canalization was performed. The patient had regular menses without further low abdominal pain after 6 months of follow-up. Uterovaginal canalization with the aid of intraoperative ultrasonography may be effective in managing the difficult didelphic uterus with an agenetic cervix and hypoplastic vagina.
Wu
Hsien-Ming
HM
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kweishan, Taoyuan, Taiwan.
Huang
Hong-Yuan
HY
Lee
Chyi-Long
CL
Soong
Yung-Kuei
YK
D000328:Adult; D002584:Cervix Uteri / Q000002:abnormalities; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D014463:Ultrasonography; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging