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Liatsikos, S.A., Tsikouras, P., Souftas, V., Ammari, A., Prassopoulos, P., Maroulis, G. and Liberis, V. (2010) Diagnosis and laparoscopic management of a rudimentary uterine horn in a teenage girl, presenting with hematometra and severe endometriosis: Our experience and review of literature. Minimally Invasive Therapy and Allied Technologies, 19, 241-247.
doi:10.3109/13645701003644491
has been cited by the following article:
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TITLE:
Non-Communicating inactive rudimentary horn of the uterus presenting with dysmenorrhoea—a case report of successful laparoscopic excision
AUTHORS:
Rachana Dwivedi, Keerthi Perera, Padma Eedarapalli
KEYWORDS:
Dysmenorrhoea; Rudimentary Horn; Laparoscopic Excision
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.1 No.4,
December
28,
2011
ABSTRACT: Uterine developmental abnormalities can cause both obstetric and gynaecological complications. Non-functioning rudimentary uterine horn is a rare cause of dysmenorrhoea which usually starts after menarche. Cases with lateral/inferior arrangement of blood supply to the functioning rudimentary horn and lapascopic removal have been described in literature. Ours is a unique case of non-functioning rudimentary horn with an unusual medial arrangement of vasculature successfully treated by laparoscopic excision. We also present a brief review of the literature. The patient presented with irretractable dysmenorrhoea despite hormonal manipulation and analgesics. Following the diagnosis using laparoscopy and hysteroscopy and MRI, the left sided non-communicating rudimentary horn with inactive endometrium was removed laparoscopically. Her symptoms were resolved and this was followed by successful pregnancies. Diagnosis of rudimentary horn with inactive endometrium is difficult. Ultrasound is unreliable. MRI, 3D CT scan and 3D ultrasound are gaining popularity. Accurate, prior identification of the type using laparoscopy and hysteroscopy if necessary is essential. This helps in surgical planning. The laparoscopic approach is increasingly being used to resect these horns due to its safety and merits.
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