Endoscopic management of a case of ‘complete septate uterus with unilateral haematometra’

Abstract

Endoscopy and ultrasound was used to diagnose a 13 year old virgin girl who presented with dysmenorrhoea and suspected right side adnexal tumescence. The girl was found to have a complete septate uterus with non-communicating right hemicavity and haematometra, an exceptional type of Müllerian anomaly. After pretreatment with buserelin, hysteroscopic metroplasty was successfully performed.

The Presentation and Early Diagnosis of the Rudimentary Uterine Horn

“…For nonseparated horns, bleeding and compromise of the wall thickness of the uterine unicornis can occur, and extirpation may best be done by laparotomy. Hysteroscopic resection of the midline septum in nonseparated, noncommunicating horns, with drainage of hematometra and ablation of endometrial tissue, has been reported, [141][142][143] with or without homologous salpingectomy. The incidence of transperitoneal migration of gametes in humans is high, so it is important to decrease the risk of ectopic pregnancy by removing the homologous tube.…”

Magnetic Resonance Imaging (MRI) Depiction of Robert’s Uterus: A Rare Müllerian Duct Anomaly Presenting with Cyclical Pain in Young Menstruating Woman

“…Open as well as minimally invasive treatments have been described [2,3,9]. The goals of treatment are drainage of the hematometra, prevention of its recurrence and drainage/excision of adnexal endometriomas.…”

“…The goals of treatment are drainage of the hematometra, prevention of its recurrence and drainage/excision of adnexal endometriomas. Recurrence of hematometra can be prevented by a complete excision of the obstructed cavity with preservation of the normal cavity or by ablation of the functional endometrium in the obstructed uterine cavity or by a unification of both uterine cavities by incising the septum [2,6,9,10]. In cases with associated adnexal endometriomas and associated adhesions, open laparotomy may be a better approach as adequate clearance of adnexal endometriomas can be done using open surgery.…”

Roberts uterus: a rare congenital anomaly

“…Surgery can be done by open or minimally invasive method; definitive surgery involves drainage of hematometra and excision of blind non-communicating hemiuterus taking care to maintain integrity of functional communicating hemiuterus and cervix. 8,9 …”