Laparoscopic uterovaginal anastomosis in Mayer-Rokitansky-Küster-Hauser syndrome with functioning horn.
OBJECTIVE
To reestablish uterovaginal continuity using a total laparoscopic procedure in Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome with a functioning right horn.


METHODS
Case report.


METHODS
University hospital of Hotel Dieu de Lyon.


METHODS
A 13-year-old woman with cyclic abdominal pain. We diagnosed MRKH syndrome with cyclic pain due to a hematometra in a functioning right horn associated to a right hematosalpinx and a nonfunctioning left horn.


METHODS
Reestablishing uterovaginal continuity with excision of the left rudimentary horn via a total laparoscopic procedure.


METHODS
Restoring regular menstruation.


RESULTS
After total laparoscopic uterovaginal anastomosis and excision of the left nonfunctioning horn, the patient's menstruation resumed 3 months later, and regular, unimpeded menstrual flow was still present at the 2-year-follow-up evaluation.


CONCLUSIONS
Total laparoscopic reestablishment of uterovaginal continuity in MRKH syndrome with a functioning horn is a valuable alternative to the currently recommended treatment (laparotomy and radical excision of the rudimentary uterus).
Raudrant
Daniel
D
Department of Gynecology, Hôtel Dieu de Lyon Hospital, Lyon, France.
Chalouhi
Gihad
G
Dubuisson
Jean
J
Golfier
François
F
D000015:Abnormalities, Multiple / Q000503:physiopathology / Q000601:surgery*; D000293:Adolescent; D000714:Anastomosis, Surgical; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008598:Menstruation; D013577:Syndrome; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*