title: Laparoscopic uterovaginal anastomosis in Mayer-Rokitansky-Küster-Hauser syndrome with functioning horn.
abstract: 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).
authors.affiliation: Department of Gynecology, Hôtel Dieu de Lyon Hospital, Lyon, France.
authors.forename: Daniel
authors.initials: D
authors.lastname: Raudrant
authors.forename: Gihad
authors.initials: G
authors.lastname: Chalouhi
authors.forename: Jean
authors.initials: J
authors.lastname: Dubuisson
authors.forename: François
authors.initials: F
authors.lastname: Golfier
mesh_terms: 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*