Surgical treatment of a non communicating uterine horn

Authors: ORNELLA SIZZI, ALFONSO ROSSETTI, FIORENZA LO CANE, ALESSANDRO LODDO, RESAD PAYA PASIC

This patient, a 32 years old woman, had a non communicating uterine horn and every month she had pelvic pain due to the formation of an hematometra.

She was already twice operated by another surgeon by hysteroscopy. The first time 6 years ago she had the release of symptoms for four years, the second time 2 years ago the release was for less than 6 months. She was referred to our unit by her gynecologist during a menstrual cycle.

We performed a laparoscopy and we found a uterus with a distorted morphology. The non communicating horn was bigger than the normal one becouse distended by the hematometra. The right salpinx was hypoplastic. After the injection of a diluted solution of vasoconstrictor we performed a right emihysterctomy with right salpingectomy trying to leave the larger quantity of myometrium was possible.

The suture was performed with figure of eight stitches.
The patient had no more painful menstrual cycles.