Laparoscopic extirpation of bilateral rudimentary horns in a patient with a variant of Mayer–Rokitansky–Kuster–Hauser syndrome

• Published in: Gynaecological endoscopy Vol. 11; no. 4; pp. 209 - 212
• Main Authors: Dokmeci, Fulya, Atabekoglu, Cem S., Berker, Bulent, Sonmezer, Murat, Kabukcu, Cihan
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Science Ltd 01.08.2002
• Subjects: Mayer–Rokitansky–Kuster–Hauser syndrome; operative laparoscopy; rudimentary horn
• ISSN: 0962-1091; 1365-2508
• DOI: 10.1046/j.1365-2508.2002.00518.x

ABSTRACT Objective To report a case of laparoscopic resection of bilateral rudimentary horns in a patient with a variant of Mayer–Rokitansky–Kuster–Hauser (MRKH) syndrome. Methods The clinical records of the patient were reviewed. Results Laparoscopy was undertaken in our patient for diagnosis of suspicious adnexal masses which had been observed on ultrasound examination. Laparoscopy disclosed two Müllerian remnants (bilateral rudimentary horns) on each pelvic sidewall and a simple paraovarian cyst 3–4 cm in size. These remnants did not communicate with each other and cervical agenesis was identified. It was decided to undertake bilateral laparoscopic horn resection since our patient complained of a cyclic pelvic pain and suspicious endometriotic implants on the right ovary and fallopian tube were observed; this was performed without complication. The resected horns and paraovarian cyst were removed by use of an endobag with extension of the left 5‐mm trocar incision. The patient was completely free of symptoms at the 1‐ and 6‐months follow‐up examinations. Conclusion Laparoscopic resection was used safely for the treatment of a variant of MRKH syndrome with bilateral rudimentary horns.