Laparoscopic resection of functional, noncommunicating uterine horn in close approximation to functional hemiuterus

Rachel M Whynott; Rachel B Mejia

doi:10.1016/j.fertnstert.2020.05.013

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Laparoscopic resection of functional, noncommunicating uterine horn in close approximation to functional hemiuterus

Journal article

Open access

Peer reviewed

Laparoscopic resection of functional, noncommunicating uterine horn in close approximation to functional hemiuterus

Rachel M Whynott and Rachel B Mejia

Fertility and sterility, Vol.114(2), pp.436-437

08/2020

DOI: 10.1016/j.fertnstert.2020.05.013

PMID: 32654816

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Abstract

To review the presentation of unicornuate uterus with a functional noncommunicating rudimentary uterine horn and a laparoscopic method of management, highlighting laparoscopic surgical techniques. A video review of unicornuate uterus with a functional noncommunicating rudimentary uterine horn and a laparoscopic approach to treatment in a 13-year-old pubertal female with severe menstrual pain. Tertiary care facility. A 13-year-old G0 was referred to the clinic for severe cyclic right lower quadrant pain during menses. Transvaginal ultrasonography revealed a left unicornuate uterus with a right-sided noncommunicating rudimentary horn measuring 4.8 × 4.7 × 4.6 cm, containing blood consistent with hematometra. Her kidneys were bilaterally present and normal by ultrasonography. Because of the patient's worsening pain and the presence of hematometra, we proceeded with diagnostic laparoscopy and removal of the rudimentary uterine horn. The entire procedure was performed laparoscopically, with an estimated total blood loss of 20 mL. Included are tips for laparoscopic resection and suturing. Pathologic features and postoperative course. The patient's pathologic features were benign, and her severe menstrual pain was resolved. She had no complications or readmissions. In patients with severe menstrual pain from outflow obstruction from a noncommunicating rudimentary uterine horn with functional endometrium, laparoscopic resection can be a safe and effective method of treatment.

Adolescent

Dysmenorrhea - diagnosis

Dysmenorrhea - etiology

Dysmenorrhea - surgery

Female

Hematometra - diagnostic imaging

Hematometra - etiology

Hematometra - surgery

Humans

Hysterectomy

Laparoscopy

Treatment Outcome

Urogenital Abnormalities - complications

Urogenital Abnormalities - diagnostic imaging

Urogenital Abnormalities - surgery

Uterus - abnormalities

Uterus - diagnostic imaging

Uterus - surgery

Details

Title: Subtitle: Laparoscopic resection of functional, noncommunicating uterine horn in close approximation to functional hemiuterus
Creators: Rachel M Whynott - University of Iowa Hospitals and Clinics
Rachel B Mejia - University of Iowa
Resource Type: Journal article
Publication Details: Fertility and sterility, Vol.114(2), pp.436-437
DOI: 10.1016/j.fertnstert.2020.05.013
PMID: 32654816
ISSN: 0015-0282
eISSN: 1556-5653
Language: English
Date published: 08/2020
Academic Unit: Obstetrics and Gynecology
Record Identifier: 9984318321002771

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