An Unusual Extremely Distant Noncommunicating Uterine Horn with Myoma and Adenomyosis Treated with Laparoscopic Hemihysterectomy
A 41-year-old woman referred to us with dysmenorrhea and severe pelvic pain although she was previously submitted to right laparotomic adnexectomy for ovarian endometrioma and to a subsequent operative laparoscopy for pelvic adhesions. After ultrasound examination, the patient underwent diagnostic...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2013/160291 |
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| author | Michele Morelli Roberta Venturella Rita Mocciaro Daniela Lico Fulvio Zullo |
| author_facet | Michele Morelli Roberta Venturella Rita Mocciaro Daniela Lico Fulvio Zullo |
| author_sort | Michele Morelli |
| collection | DOAJ |
| description | A 41-year-old woman referred to us with dysmenorrhea and severe pelvic pain although she was previously submitted to right laparotomic adnexectomy for ovarian endometrioma and to a subsequent operative laparoscopy for pelvic adhesions.
After ultrasound examination, the patient underwent diagnostic hysteroscopy and operative laparoscopy which confirmed the clinic suspect of an unicornuate uterus. However, it was very unusual to see an extremely distanced right horn, without communication with uterus, without adnexa, and with a small myoma belonging to it. Moreover, omentum and bowel were attached to fundus of right horn and thick adhesions fixed it to rectum and right pelvic wall. Therefore, identification of anatomical structures was difficult, as it was extremely arduous to isolate the ureter, which was involved inside the adhesions surrounding the right uterine horn. Nevertheless, laparoscopic right hemihysterectomy was successfully performed and right horn was sent to our pathologist who recognized hypotrophic endometrium and adenomyosis. |
| format | Article |
| id | doaj-art-5797fce59d32493f97fc06fb04b21a2f |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-5797fce59d32493f97fc06fb04b21a2f2025-02-03T06:13:06ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/160291160291An Unusual Extremely Distant Noncommunicating Uterine Horn with Myoma and Adenomyosis Treated with Laparoscopic HemihysterectomyMichele Morelli0Roberta Venturella1Rita Mocciaro2Daniela Lico3Fulvio Zullo4Department of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Viale Europa, Loc alità Germaneto, 88100 Catanzaro, ItalyDepartment of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Viale Europa, Loc alità Germaneto, 88100 Catanzaro, ItalyDepartment of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Viale Europa, Loc alità Germaneto, 88100 Catanzaro, ItalyDepartment of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Viale Europa, Loc alità Germaneto, 88100 Catanzaro, ItalyDepartment of Obstetrics and Gynecology, Magna Graecia University of Catanzaro, Viale Europa, Loc alità Germaneto, 88100 Catanzaro, ItalyA 41-year-old woman referred to us with dysmenorrhea and severe pelvic pain although she was previously submitted to right laparotomic adnexectomy for ovarian endometrioma and to a subsequent operative laparoscopy for pelvic adhesions. After ultrasound examination, the patient underwent diagnostic hysteroscopy and operative laparoscopy which confirmed the clinic suspect of an unicornuate uterus. However, it was very unusual to see an extremely distanced right horn, without communication with uterus, without adnexa, and with a small myoma belonging to it. Moreover, omentum and bowel were attached to fundus of right horn and thick adhesions fixed it to rectum and right pelvic wall. Therefore, identification of anatomical structures was difficult, as it was extremely arduous to isolate the ureter, which was involved inside the adhesions surrounding the right uterine horn. Nevertheless, laparoscopic right hemihysterectomy was successfully performed and right horn was sent to our pathologist who recognized hypotrophic endometrium and adenomyosis.http://dx.doi.org/10.1155/2013/160291 |
| spellingShingle | Michele Morelli Roberta Venturella Rita Mocciaro Daniela Lico Fulvio Zullo An Unusual Extremely Distant Noncommunicating Uterine Horn with Myoma and Adenomyosis Treated with Laparoscopic Hemihysterectomy Case Reports in Obstetrics and Gynecology |
| title | An Unusual Extremely Distant Noncommunicating Uterine Horn with Myoma and Adenomyosis Treated with Laparoscopic Hemihysterectomy |
| title_full | An Unusual Extremely Distant Noncommunicating Uterine Horn with Myoma and Adenomyosis Treated with Laparoscopic Hemihysterectomy |
| title_fullStr | An Unusual Extremely Distant Noncommunicating Uterine Horn with Myoma and Adenomyosis Treated with Laparoscopic Hemihysterectomy |
| title_full_unstemmed | An Unusual Extremely Distant Noncommunicating Uterine Horn with Myoma and Adenomyosis Treated with Laparoscopic Hemihysterectomy |
| title_short | An Unusual Extremely Distant Noncommunicating Uterine Horn with Myoma and Adenomyosis Treated with Laparoscopic Hemihysterectomy |
| title_sort | unusual extremely distant noncommunicating uterine horn with myoma and adenomyosis treated with laparoscopic hemihysterectomy |
| url | http://dx.doi.org/10.1155/2013/160291 |
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