[Laparoscopic hemi-hysterectomy in treatment of a didelphic uterus with a hypoplastic cervix and obstructed hemivagina]

ABSTRACT

Maldevelopment of the Mullerian duct system may result in various urogenital anomalies including didelphic uterus with a hypoplastic cervix and obstructed hemivagina. We report a patient with this anamoly who was treated by laporoscopic hemi-hysterectomy and hysteroscopic resection of hemivagina. A 16 year old patient who had complained of vaginal pus-like discharge on and off for 1 year was diagnosed by MRI to have a double uterus with obstructed right hemivagina and ipsilateral renal agenesis. After hysteroscopic identification of hypoplasia of the right uterine cervix, laparoscopic resection of the right uterus and right fallopian tube and hysteroscopically assisted resection of the vaginal septa were performed successfully. We think that combined laparoscopy and hysteroscopy may be an efficacious alternative in the management and diagnosis of Mullerian anomalies