Laparoscopic management of non-communicating rudimentary horn in a dysmenorrheic and infertile patient.
A case of laparoscopic excision of non-communicating rudimentary horn. The anatomical features of this case were unique. A 19-year-old nulligravida presented with severe dysmenorrhea and primary infertility. Hysterosalpingogram revealed a left uterine horn that had a solitary patent tube. Magnetic resonance imaging showed a left unicornuate uterus continuous with the cervix and the vagina, and a rudimentary right uterine horn. This confirmed the diagnosis of non-communicating cavitated right rudimentary horn. At laparoscopy the patient had stage III endometriosis, and non-communicating right rudimentary horn, which was attached to the unicornuate uterus by a long fibrous band. The rudimentary horn was freed from the pelvic side wall, excised and removed laparoscopically with no complication.
Saleh
Ahmed M
AM
Department of Obstetrics and Gynecology, King Fahad National Guard Hospital, PO Box 1011, Riyadh 11431, Kingdom of Saudi Arabia. drsaleh2002@hotmail.com
Sultan
Safiah F
SF
Al-Jawad
Hussain M
HM
Al-Ghazali
Sahar D
SD
Al-Shalahi
Nashmia J
NJ
D000328:Adult; D004412:Dysmenorrhea / Q000209:etiology* / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007247:Infertility, Female / Q000209:etiology*; D010535:Laparoscopy; D014599:Uterus / Q000002:abnormalities*