Laparoscopic coring-type resection of noncommunicating rudimentary uterine horn with functioning endometrium

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  • TAKAISHI Yu
    Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center
  • YASUDA Miki
    Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center
  • MASUDA Miho
    Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center
  • IKEDA Makiko
    Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center
  • ANDO Yukiko
    Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center
  • SATO Hiroshi
    Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center
  • TAGUCHI Nao
    Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center
  • HIROSE Masaya
    Department of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center

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  • 腹腔鏡下coring-type resectionを行った非交通性副角子宮の1例
  • フククウキョウ カ coring-type resection オ オコナッタ ヒコウツウセイ フクミズラキュウ ノ 1レイ

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Abstract

<p>Non-communicating rudimentary horn is a relatively rare uterine malformation that is often associated with endometriosis and hematometra, and which may cause dysmenorrhea. We report a case of laparoscopic coring-type resection of a cavitated non-communicating rudimentary horn with close connection to the contralateral horn. The patient was a 13-year-old girl, 11 years of age at menarche, who had been experiencing intermittent vomiting and abdominal pain since the age of 12 years. She was diagnosed with non-communicating rudimentary uterine horns. An agenesis of the right kidney was also found. Laparoscopic coring-type resection of a rudimentary horn, right endometriotic cyst, and right fallopian tube were performed. The surgery was completed without complications, and the patient is currently in good postoperative condition. When performing resection of rudimentary uterine horn with close connection to the contralateral horn, coring-type resection, in which a margin is taken from the unicornal myometrium, with conical resection, is considered useful because it allows complete resection of the functional endometrium while minimizing damage to the uterine muscle layer of the contralateral horn. [Adv Obstet Gynecol, 73 (3) : 334-339, 2021 (R3.8)]</p>

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