Korean J Obstet Gynecol.  2011 Nov;54(11):721-725. 10.5468/KJOG.2011.54.11.721.

A case of laparoscopic management of unicornuate uterus with rudimentary horn and unilateral extensive endometriosis

• Sung JE
• Park CE
• Kyung MS
• Choi SR
• Cho Y
• Ro ES

• KMID: 2274114
• DOI: http://doi.org/10.5468/KJOG.2011.54.11.721

Abstract

The unicornuate uterus with a rudimentary horn is a very rare congenital anomaly of the female genital system. We have experienced a case of an unicornuate uterus with a left non-communicating functional rudimentary horn associated with agenesis of an ipsilateral kidney, progressive dysmenorrhea, hematometra, hematosalpinx and extensive endometriosis in a 13-year-old girl and treated by laparoscopy. We report this case with relevant literatures.

Keyword

Unicornuate uterus; Endometriosis; Laparoscopy; Rudimentary horn

MeSH Terms

Adolescent
Animals
Dysmenorrhea
Endometriosis
Female
Hematometra
Horns
Humans
Kidney
Laparoscopy
Uterus

Figure

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  Fig. 1 Pelvic magnetic resonance imaging showed hematometra of left rudimentary horn, left hematosalpinx and left endometriosis. Ut, right unicornuate uterus; Lt., left; horn, rudimentary horn.

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  Fig. 2 Pelvic magnetic resonance imaging showed right unicornuate uterus, hematometra of left noncommunucating rudimentary horn. Lt. horn, left rudimentary horn.

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  Fig. 3 Pelvic magnetic resonance imaging showed left hematosalpinx and left endometriosis. Lt., left; endo, endometriosis.

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  Fig. 4 (A) Laparoscopic view of right unicornuate uterus (Rt U), left rudimentary uterine horn with hematometra (Lt RH), large left hematosalpinx (Lt HS), and left round ligament (RL). (B) Laparoscopic view of right unicornuate uterus (Rt U), left rudimentary horn with hematometra (Lt RH), left hematosalpinx (Lt HS) after aspiration and partial adheolysis.

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  Fig. 5 Histologic finding of the left ovary shows endometriosis with stroma hemorrhage (H&E, ×100).

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