Kronik pelvik ağrının nadir bir nedeni olan non-kommunike rudimenter horn'un laparoskopik tedavisi Türkçe

Year 2012, Volume: 9 Issue: 3, 133 - 137, 01.12.2012

Sefa Kurt Ömer Demirtaş İbrahim Uyar Aycan Kopuz Buket Keser

Abstract

Rudimenter hornun eşlik ettiği unikornuat uterus, kadın genital sisteminin nadir izlenen bir gelişim anomalisidir. Genel popülasyonda insidansı 1/100.000'dir ve tüm uterin anomalilerin %5-10'unu oluşturur. Beraberinde sıklıkla üriner sistem anomalileri, özellikle ipsilateral renal anomaliler gözlenir. Bu çalışmada 25 yaşında, 5 yıllık evli, kronik pelvik ağrı ve infertilite yakınması olan, aynı taraf böbrek agenezisinin eşlik ettiği, rastlantısal saptanan nonkommunike rudimenter horn olgusunun laparoskopik eksizyon ile tedavisini sunmayı amaçladık

Keywords

Müllerian anomali, pelvik ağrı, rudimenter horn

Laparoscopic treatment of rudimentary horn with a rare cause of chronic pelvic pain: case report

Abstract

Rudimentary uterin horn accompanied unicorn is a rare developmental anomaly of the female genital system. The incidence in the general population is 1/100.000. This anomaly is 5-10% of all forms of uterine anomalies. With urinary tract anomalies, especially ipselateral renal anomalies are observed frequently. In this study, we aimed to present the treatment of phenomenon of noncommunican rudimentary horn, 25 years old, 5 years married, with complaints of chronic pelvic pain and infertility, accompanied by ipselateral renal agenesis, incidentally detected

Keywords

Mullerian anomaly, pelvic pain, rudimentary horn

References

• ) Medeiros LR, Rosa DD, Silva FR, Silva BR, Rosa MI. Laparoscopic approach of a unicornuate uterus with noncommunicating rudimentary horns. ISRN Obstet Gynecol 2011; 2011: 906138
• ) Atmaca R, Germen AT, Burak F, Kafkasli A. Acute abdomen in a case with noncommunicating rudimentary horn and unicornuate uterus. JSLS ; 9: 235-7. ) Zapardiel I, Alvarez P, Perez-Medina T, Bajo- Arenas JM. Laparoscopic management of a cavitated noncommunicating rudimentary uterine horn of a unicornuate uterus: a case report. Journal of Medical Case Reports 2010; 4: 215.
• ) Nezhat CR, Smith KS. Laparoscopic management of a unicorniate uterus with two cavitated, non-communicating rudimentary horns. Human Reproduction 1991; 4: 1965-8.
• ) Pentti K. Heinonen. Unicornuate uterus and rudimentary horn. Fertil Steril. 1997; 68: 224-30.
• ) Speroff L, Glass RH, Kase Nathan GN. Clinical Gynecologic Endocrinology and Infertility, 1999 pp 158.
• ) Bayar D, Uygur D, Yüksel B, Akar EM, Erdinç SA, Küçüközkan T. Unicornuate Uterus: Analysis of 55 Cases. Gynecol Obstet Reprod Med 2004; 10: 44
• ) The American Fertility Society. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, secondary to tubal ligation, tubal pregnancies, Mullerian anomalies and intrauterine adhesions. Fertil Steril ; 49: 944-55. ) Atmaca R, Germen TA, Burak F, Kafkaslı A. Rudimenter hornlu unikornuat bir olguda akut batın. Artemis 2003; 4: 74-76
• ) Nahum GG. Rudimentary uterine horn th pregnancy. The 20 Century world wide experience of 588 cases. J Reprod Med 2002; 47: 151-63
• ) Canis M, Wattiez A, Pouly JL. Laparoscopic management of unicorniate uterus with rudimentary horn and unilateral extensive endometriosis: case report. Hum Reprod 1990; 5: 819-20.
• ) Dicker D, Nitke S, Shoenfeld A, Fish B, Meizner I, Ben-Rafael Z. Laparoscopic management of rudimentary horn pregnancy. Hum Reprod 1998; 13: –4
• ) Çırpan T, Demirtaş Ö, Demirtaş G, Özşener S, Y ü c e b i l g i n S . [ E c t o p i c p r e g n a n c y i n noncommunicating rudimentary uterine horn]. Ege Journal of Medicine 2010; 49: 145-7.
• ) Sefrioui O, Azyez M, Babahabib A, Kaanane F, Matar N. Pregnancy in rudimentary uterine horn: diagnostic andt herapeutic difficulties. Gynecol Obstet Fertil 2004; 32: 308-10.
• ) Henionen PK. Unicornuate uterus and rudimentary horn. Fertil Steril 1997; 68; 224-30.