Laparoscopic morcellation of didelphic uterus with cervical and renal aplasia.
This is a case report (and review of the literature) of a 12-year and 10-month-old girl with a rare congenital anomaly of uterus didelphys, unilateral cervix aplasia, and ipsilateral renal aplasia. She had severe dysmenorrhea from the first menses. In an effort to preserve fertility, a cervical fistula was made that closed over. A laparoscopic hemi-hysterectomy was done successfully and rapidly with laparoscopic morcellation. Because no ureter was present, it was not necessary to trace it. For this congenital anomaly, laparoscopic morcellation of the obstructed hemiuterus is the preferred treatment either as a primary procedure or as a secondary procedure following failure of a surgical cervical fistula for the young patient.
Altchek
Albert
A
Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Hospital, New York, New York, USA. albertaltcheck@aol.com
Brodman
Michael
M
Schlosshauer
Peter
P
Deligdisch
Liane
L
D000015:Abnormalities, Multiple; D002584:Cervix Uteri / Q000002:abnormalities* / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery