Abstract

LEITE, Sara Dias  and  FERNANDES, Ana Sofia. Laparoscopic excision of functional rudimentar cavity for chronic pelvic pain in adolescence. Acta Obstet Ginecol Port [online]. 2024, vol.18, n.1, pp.60-63.  Epub Mar 31, 2024. ISSN 1646-5830.

A female adolescent presented with recurrent pelvic pain, severe dysmenorrhea, and catamenial diarrhea for 2 years. Ultrasound and magnetic resonance imaging suggested a hemi-uterus with a non-communicating rudimentary cavity. Hysteroscopy revealed a normal vagina and cervix, and one tubular uterine cavity with only the left tubal ostium. During laparoscopy, a left hemi-uterus was observed with a normal left ovary and tube, and a non-communicating rudimentary cavity on the right side with normal adnexa (ESHRE/ESGE U4aC0V0). Blood and endometriotic lesions were present at the pouch of Douglas. Excision of the rudimentary cavity, tube, and endometriotic lesions was performed.

Keywords : Mullerian malformatian; Chronic pelvic pain; Adolescence; Functional rudimentary cavity.

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