Laparoscopic uterovaginal anastomosis in Mayer-Rokitansky-Küster-Hauser syndrome with functioning horn.

Abstract

OBJECTIVE:

To reestablish uterovaginal continuity using a total laparoscopic procedure in Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome with a functioning right horn.

DESIGN:

Case report.

SETTING:

University hospital of Hotel Dieu de Lyon.

PATIENT(S):

A 13-year-old woman with cyclic abdominal pain. We diagnosed MRKH syndrome with cyclic pain due to a hematometra in a functioning right horn associated to a right hematosalpinx and a nonfunctioning left horn.

INTERVENTION(S):

Reestablishing uterovaginal continuity with excision of the left rudimentary horn via a total laparoscopic procedure.

MAIN OUTCOME MEASURE(S):

Restoring regular menstruation.

RESULT(S):

After total laparoscopic uterovaginal anastomosis and excision of the left nonfunctioning horn, the patient's menstruation resumed 3 months later, and regular, unimpeded menstrual flow was still present at the 2-year-follow-up evaluation.

CONCLUSION(S):

Total laparoscopic reestablishment of uterovaginal continuity in MRKH syndrome with a functioning horn is a valuable alternative to the currently recommended treatment (laparotomy and radical excision of the rudimentary uterus).

• Authors: Daniel Raudrant, Gihad Chalouhi, Jean Dubuisson, François Golfier
• Journal: Fertility and sterility (Fertil Steril) Vol. 90 Issue 6 Pg. 2416-8 (Dec 2008) ISSN: 1556-5653 [Electronic] United States
• PMID: 18191845 (Publication Type: Case Reports, Journal Article)

Topics

• Abnormalities, Multiple (physiopathology, surgery)
• Adolescent
• Anastomosis, Surgical
• Female
• Gynecologic Surgical Procedures (methods)
• Humans
• Laparoscopy
• Menstruation
• Syndrome
• Treatment Outcome
• Uterus (abnormalities, physiopathology, surgery)
• Vagina (abnormalities, physiopathology, surgery)