Design: Video
Setting: Hospital operating room
Patients or Participants: 16 yo female presenting with chronic dysmenorrhea found to have a unicornuate uterus with an associated rudimentary horn.
Interventions: The patient had a laparoscopic excision of rudimentary horn.
Measurements and Main Results: After chromopertubation to confirm the right rudimentary horn and adjacent fallopian tube were not connected to the left hemiuterus, the rudimentary horn and fallopian tube were excised from the functional unicornuate uterus without entry into the endometrial cavity.
Conclusion: Laparoscopic excision of rudimentary horn can successfully treat dysmenorrhea in symptomatic patients.
Alzamora, MC*1, Trieu, E2, Horiuchi, W3, Kastury, R4, Damle, LF3. 1Obstetrics and Gynecology, MedStar Washington Hospital Center, washington, DC; 2Medstar Washington Hospital Center, Washington, DC; 3Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, DC; 4Pediatric and Adolescent Gynecology, Children's National Medical Center, Washington, DC