Frontino Giada, Bianchi Stefano, Ciappina Nevio, Restelli Elisa, Borruto Franco, Fedele Luigi
Department of Obstetrics, Gynecology and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, Milan, Italy.
J Minim Invasive Gynecol. 2009 Sep-Oct;16(5):622-5. doi: 10.1016/j.jmig.2009.04.015.
We report 2 case of an atypical variant of unicornuate uterus in 2 adolescent patients with severe dysmenorrhea. Pelvic ultrasonography and magnetic resonance imaging identified a normal uterine contour. On the right side within the uterine fundus, a nodule was detected with a small hypoechogenic content. At laparoscopy the uterus and adnexae appeared to be normal. No endometriotic lesions were identified. Hysteroscopy identified a single regular cervical canal and a uterine cavity resembling that of a left unicornuate uterus, with a single regular left tubal ostium. Complete resection of the right uterine nodule along with an ipsilateral salpingectomy was performed. The nodule contained a small endometrial cavity and hematometra. Histologic study showed a cavitated adenomyotic uterine rudiment. The patients were discharged on the second postoperative day. No intraoperative or postoperative complications or recurrence of pelvic pain occurred.
我们报告了2例青春期严重痛经患者的非典型单角子宫变体病例。盆腔超声和磁共振成像显示子宫轮廓正常。在子宫底部右侧，检测到一个含有少量低回声内容物的结节。腹腔镜检查时，子宫和附件外观正常。未发现子宫内膜异位病变。宫腔镜检查发现一个单一的规则宫颈管和一个类似左侧单角子宫的子宫腔，有一个单一的规则左侧输卵管开口。对右侧子宫结节进行了完整切除并同时切除同侧输卵管。该结节包含一个小的子宫内膜腔和子宫积血。组织学研究显示为一个有空腔的子宫腺肌病残迹。患者术后第二天出院。未发生术中或术后并发症，盆腔疼痛也未复发。
