Laparoscopic Hemi-hysterectomy for Obstructive Uterine Didelphys with Unilateral Vaginal Hypoplasia

A 19-year-old woman was referred to our tertiary gynaecology unit from a regional centre with prolonged menstrual bleeding, brown intermenstrual discharge, dysmenorrhoea and a recent diagnosis of uterine didelphys. She had initially presented with pelvic pain and fever and underwent a laparoscopy for suspected appendicitis. She was found to have a normal appendix, infected right endometrioma and two uterine horns. After treatment with antibiotics, magnetic resonance imaging (Figure 1) showed uterine didelphys with a single vaginal lumen, right renal agenesis and a 3cm right endometrioma.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Original Article Source Type: research