title: Müllerian duct anomalies: successful endoscopic management of a hybrid bicornuate/septate variety.
abstract: OBJECTIVE
  To highlight the coexistence of uterine septum in cases diagnosed as bicornuate uterus on basis of the external shape of uterine fundus.
  
  
  METHODS
  Case report with description of the technique.
  
  
  METHODS
  Women's Health Assiut University Hospital.
  
  
  METHODS
  An adolescent female with progressive pains dating since menarche.
  
  
  METHODS
  Hysteroscopic resection under laparoscopic monitoring through an intact hymen.
  
  
  METHODS
  Operative time, complications, postoperative abdominal pain, appearance of the uterine cavity
  
  
  RESULTS
  A patient with a septate uterus with a fundal depression and hemiuterine obstruction underwent hysteroscopic resection under laparoscopic monitoring. Laparoscopy was beneficial in diagnosis and treatment of associated pathology and monitoring the hysteroscopic procedure. Hysteroscopic metroplasty was performed and resulted in unification of the lower two thirds of the uterus. Dysmenorrhea was dramatically improved after the procedure. Subsequent office hysteroscopy confirmed restoration of a unified lower uterine corpus anatomy mimic to the original bicornuate state.
  
  
  CONCLUSIONS
  External fundal depression which characterizes bicornuate uterus was associated with a septate uterus with hemi uterine obstruction. This report demonstrates the coexistence of the two anomalies. Endoscopic management of this patient was safe and successful.
authors.affiliation: Women's Health University Hospital, Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt. ali_elsaman@yahoo.com
authors.forename: Ali M
authors.initials: AM
authors.lastname: El Saman
authors.forename: Ahmed
authors.initials: A
authors.lastname: Nasr
authors.forename: Reda M
authors.initials: RM
authors.lastname: Tawfik
authors.forename: Hazeem S
authors.initials: HS
authors.lastname: Saadeldeen
mesh_terms: D000293:Adolescent; D004412:Dysmenorrhea / Q000209:etiology; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D010535:Laparoscopy; D009095:Mullerian Ducts / Q000002:abnormalities*; D014463:Ultrasonography; D014591:Uterine Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities*