Document Detail

Accurate preoperative diagnosis and laparoscopic removal of the cavitated non-communicated uterine horn for obstructive Mullerian anomalies.
MedLine Citation:
PMID:  16445529     Owner:  NLM     Status:  MEDLINE    
Obstructive Mullerian anomalies cause severe dysmenorrhea following menarche as a result of disturbed menstrual outflow. Therefore, surgical management such as extirpation of the obstructive uterine horn is required for treatment of these patients. It is necessary to have a detailed understanding of the pathological conditions of the pelvic organs and urinary system prior to surgery. We report three cases of reproductive, nulligravid patients diagnosed as having obstructive Mullerian anomalies. Preoperative accurate diagnosis was obtained by magnetic resonance imaging (MRI) and 3-D computed tomography (CT) angiography. Laparoscopic resection of the rudimentary uterine horn was performed safely and completely, and resolved all problems. MRI and 3-D CT angiography are useful tools for diagnosing complex Mullerian anomalies, and operative laparoscopy may be an alternative treatment for these cases.
Hiroyuki Takeuchi; Yuichi Sato; Hiroto Shimanuki; Iwaho Kikuchi; Jun Kumakiri; Mari Kitade; Katsuyuki Kinoshita
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  32     ISSN:  1341-8076     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-01-31     Completed Date:  2006-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  74-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Juntendo University School of Medicine, Tokyo, Japan.
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MeSH Terms
Dysmenorrhea / etiology
Laparoscopy / methods*
Magnetic Resonance Imaging
Mullerian Ducts / abnormalities
Retrospective Studies
Tomography, X-Ray Computed
Uterus / abnormalities*,  surgery*

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