Anatomical variation in the rudimentary horns of a unicornuate uterus: implications for laparoscopic surgery
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This paper describes a laparoscopic excision of a unicornuate uterus with a rudimentary horn, highlighting two anatomical variations of horn attachment crucial for surgical safety.
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Abstract
A case of laparoscopic excision of a rudimentary horn is presented. The anatomical features of this case are contrasted with others in the published literature. A 23 year old nulligravida presented with severe dysmenorrhoea and a pelvic mass. At laparoscopy a unicornuate uterus with a rudimentary horn was identified. The patient had stage III endometriosis. The rudimentary horn was attached to the unicornuate uterus by a band of tissue. The blood supply was identified within this band of tissue. The rudimentary horn was removed laparoscopically with no complications. There are two anatomical variations in the attachment of the rudimentary horn to the unicornuate uterus. Knowledge of both types is important to avoid complications such as bleeding and possible compromise of myometrial wall thickness.
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Cited by (14)
- Laparoscopic coring-type resection of noncommunicating broadly attached rudimentary horn with recurrent large ovarian endometriomas: A report of two cases 2023
- A case of laparoscopic removal of a uterus with a rudimentary horn safely performed following preoperative 3D-reconstructed CT evaluation 2020
- A case of unicornuate uterus with a non-communicating rudimentary uterine horn, with adenomyosis, managed with laparoscopic surgery 2020
- Laparoscopic Approach Towards Non-Communicating Functional Rudimentary Uterine Horn: A Report of Two Cases 2020
- Unicornuate uterus and the noncommunicating functional horn: continued debate on the diagnosis, classification, and treatment 2020
- Minimally Invasive Laparoscopic Surgery in a Patient With Wunderlich Syndrome 2015
- Coring‐type laparoscopic resection of a cavitated non‐communicating rudimentary horn under hysteroscopic assistance 2014
- Laparoscopic management of unicornuate uterus with non-communicating rudimentary horn and ipsilateral ovarian endometrioma with dense adhesion: a case report 2010
- Laparoscopic management of a cavitated noncommunicating rudimentary uterine horn of a unicornuate uterus: a case report 2010
- Diagnosis and laparoscopic management of a rudimentary uterine horn in a teenage girl, presenting with haematometra and severe endometriosis: Our experience and review of literature 2010
- A Case Report of Preoperative Diagnosis and Laparoscopic Resection of a Non-communicating Rudimentary Uterine Horn Pregnancy 2008
- Laparoscopic management of non-communicating rudimentary horn in a dysmenorrheic and infertile patient 2003
- An infertile woman with a unicornuate uterus with non-communicating rudimentary horn and ipsilateral ovarian endometrioma conceived after the laparoscopic surgery: a case report 2002
- Conservative treatment for a noncommunicating rudimentary uterine horn 2001
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