Altchek Albert, Brodman Michael, Schlosshauer Peter, Deligdisch Liane
Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Hospital, New York, New York, USA.
JSLS. 2009 Oct-Dec;13(4):620-4. doi: 10.4293/108680809X12589999538237.
This is a case report (and review of the literature) of a 12-year and 10-month-old girl with a rare congenital anomaly of uterus didelphys, unilateral cervix aplasia, and ipsilateral renal aplasia. She had severe dysmenorrhea from the first menses. In an effort to preserve fertility, a cervical fistula was made that closed over. A laparoscopic hemi-hysterectomy was done successfully and rapidly with laparoscopic morcellation. Because no ureter was present, it was not necessary to trace it. For this congenital anomaly, laparoscopic morcellation of the obstructed hemiuterus is the preferred treatment either as a primary procedure or as a secondary procedure following failure of a surgical cervical fistula for the young patient.
这是一例关于一名12岁10个月大女孩的病例报告（及文献综述），该女孩患有罕见的先天性双子宫畸形、单侧宫颈发育不全及同侧肾发育不全。她自初潮起就有严重痛经。为了保留生育能力，做了宫颈瘘，但后来闭合了。成功且迅速地进行了腹腔镜半子宫切除术，并采用了腹腔镜碎解术。由于不存在输尿管，所以无需追踪。对于这种先天性畸形，对于年轻患者，腹腔镜碎解梗阻侧半子宫无论是作为初次手术还是在手术宫颈瘘失败后的二次手术都是首选治疗方法。
