Ultrasound-guided unification of noncommunicating uterine cavities.
BACKGROUND
The benefits of ultrasound-guided hysteroscopic metroplasty have been well described in the management of the partial septate uterus. The use of ultrasonography at the time of hysteroscopy provides visualization of the intrauterine instruments within the uterine cavity. This report describes a case where ultrasound-guidance was used to enter a noncommunicating uterine cavity hysteroscopically.


METHODS
A 22-year-old female after her third miscarriage experienced worsening dysmenorrhea. The patient underwent a laparoscopy and hysteroscopy to further evaluate the cause of pelvic pain and to treat the Müllerian anomaly. Under ultrasound-guidance, the 2 uterine cavities were unified by hysteroscopic metroplasty.


RESULTS
Postoperative sonohysterography demonstrated unification of the 2 cavities.


CONCLUSIONS
This unique application of ultrasound-guidance in hysteroscopic surgery may aid the surgeon in entering a noncommunicating uterine cavity.
Mullesserill
Bijoy T
BT
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Dumesic
Daniel A
DA
Damario
Mark A
MA
Session
Donna R
DR
D000026:Abortion, Habitual; D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D009095:Mullerian Ducts / Q000002:abnormalities; D011247:Pregnancy; D014463:Ultrasonography; D014599:Uterus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*