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Human Reproduction, Vol. 14, No. 8, 1965-1968, August 1999
© 1999 European Society of Human Reproduction and Embryology

Laparoscopic management of a unicornuate uterus with two cavitated, non-communicating rudimentary horns: Case report

C.R. Nezhat1,2,3,4 and K.S. Smith1,2

1 Department of Gynecology and Obstetrics, Stanford University Medical Center, 300 Pasteur Drive, 2 Stanford University Endoscopy Center for Training and Technology, Medical School Office Building, Suite X340 and 3 Department of Surgery, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305,USA

An 18 year old nulligravid woman presented with severe dysmenorrhoea secondary to stage IV (revised American Fertility Society) endometriosis, right haematosalpinx, right endometrioma, unicornuate uterus and two cavitated, non-communicating rudimentary uterine horns. To our knowledge, this is the first reported case of a unicornuate uterus accompanied by two rudimentary horns. Operative video-laparoscopy proved a successful approach for treating this previously unreported variant of congenital Müllerian anomaly. A review of the world literature confirms the uniqueness of this case while demonstrating laparoscopy to be a viable alternative to laparotomy for management of congenital Müllerian anomalies. The case presented may help to elucidate Müllerian duct embryology further.

Key words: congenital Müllerian anomaly/laparoscopy/rudimentary horn

4 To whom correspondence should be addressed


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