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The non-communicating rudimentary horn: diagnostic and therapeutic challenges

Scheibner, Katrin ; Kuhn, Annette ; Raio, Luigi ; Brühwiler, Hermann ; Müller, Michael

In: Gynecological Surgery, 2007, vol. 4, no. 3, p. 207-211

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    Titre
    • The non-communicating rudimentary horn: diagnostic and therapeutic challenges
    Auteur
    • Scheibner, Katrin. Department of Obstetrics and Gynaecology, Inselspital Bern, Effingerstr. 102, 3010, Bern, Switzerland
    • Kuhn, Annette. Department of Obstetrics and Gynaecology, Inselspital Bern, Effingerstr. 102, 3010, Bern, Switzerland
    • Raio, Luigi. Department of Obstetrics and Gynaecology, Inselspital Bern, Effingerstr. 102, 3010, Bern, Switzerland
    • Brühwiler, Hermann. Department of Obstetrics and Gynaecology, Hospital Münsterlingen, Münsterlingen, Switzerland
    • Müller, Michael. Department of Obstetrics and Gynaecology, Inselspital Bern, Effingerstr. 102, 3010, Bern, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:318579
    Summary
    We describe the case of a 23-year-old nulligravid woman who complained of increasing post-menstrual lower abdominal pain. She used contraceptives permanently for three months and was referred with a sub-mucosal lesion suspicious for a type 2 fibroid to be resected. During hysteroscopy, no fibroid mass could be confirmed. A post-operatively performed ultrasound including hydrosonography demonstrated a lesion highly suspicious for a uterus unicollis with a non-communicating uterine horn and a haematometra. Laparoscopy confirmed a normal outer lining of the uterus with hypoplastic tube on the right side. Referring to pre-operative findings, a broadly based uterine horn including a large haematometra was diagnosed. We performed a laparoscopic resection of the rudimentary horn and a right salpingectomy. The patient could be discharged without any complications three days later