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11–14 APRIL, 2018, HELSINKI, FINLAND
17:00–17:05
S12-6 (VP)
ROBOTIC EXCISION OF A NON-COMMUNICATING
RUDIMENTARY UTERINE HORN WITH ENDOMETRIOSIS
IN A POST PUBERTAL FEMALE
Aparajita MITRA
1
, Rajiv PADANKATTI
2
and Venkat SRIPATHI
1
1) Apollo Children's Hospital, Pediatric Urology, Chennai, INDIA - 2) Apollo Children's Hospital, Pediatric Surgery,
Chennai, INDIA
PURPOSE
A non-communicating uterine horn with endometrial lining can lead to severe dysmenorrhoea at
menarche and endometriosis. The risk of an ectopic pregnancy and rupture add to the surgical
indications. Under the American Society of Reproductive Medicine Classification this condition is
classified as a 2B Mullerian Duct Anomaly.
MATERIAL AND METHODS
A 15 year old girl with severe dysmenorrhea of six months duration was evaluated in the Emergency
Department. She had marked left iliac fossa tenderness and a palpable mass. MRI of the pelvis
revealed a left sided unicornuate uterus markedly distended with blood, a large hematosalpinx and
multiple ovarian chocolate cysts.
RESULTS
Robotic excision was done successfully. The Harmonic scalpel was particularly useful and helped
in ovarian preservation. Dissection was done without fear of ureteric injury as she also had left
renal agenesis. Three menstrual cycles following surgery were painless and ultrasound has shown
normal ovaries.
CONCLUSIONS
The video aims to demonstrate the use of Robotic Assistance in tackling this difficult and rare mul-
lerian anomaly with an excellent outcome and minimal morbidity.
17:05–17:14
Discussion