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Open Access Case report

Laparoscopic management of a cavitated noncommunicating rudimentary uterine horn of a unicornuate uterus: a case report

Ignacio Zapardiel*, Pilar Alvarez, Tirso Perez-Medina and Jose M Bajo-Arenas

Author Affiliations

Department of Obstetrics and Gynecology, Santa Cristina University Hospital, Madrid, Spain

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Journal of Medical Case Reports 2010, 4:215  doi:10.1186/1752-1947-4-215

Published: 19 July 2010

Abstract

Introduction

A unicornuate uterus with a rudimentary horn is the most uncommon uterine anomaly of the female genital tract. It has an estimated frequency of one in 100,000 among the fertile female population. This anomaly results from the abnormal maturation of one Müllerian duct with the normal development of the contralateral one.

Case presentation

We report here the case of a 14-year-old Caucasian girl who came to our hospital with intense dysmenorrhea. Imaging techniques revealed a unicornuate uterus with a rudimentary horn and a large hematosalpinx. We performed a laparoscopic removal of this uterine anomaly without any complication in the postoperative period.

Conclusion

In our case report, we demonstrate that laparoscopy is the best approach for the treatment of IIb Müllerian abnormalities. Laparoscopy resulted in anatomical and reproductive results equivalent to those offered by a laparotomic approach, but with the additional advantages of minimally invasive surgery, such as better cosmetic results and postoperative period, which are essential for very young patients.