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Authors

Case description:


Three patients diagnosed with Hemi-uterus with non-communicating functional rudimentary cavity are reported.


Clinical findings:


Adolescent patients with disabling pelvic pain during menstrual periods, depressive states, and functional disability secondary to pain.


Treatment and outcome:


Reconstruction of Hemi-uterus with non-communicating functional rudimentary cavity using a microsurgical technique, without the need for non-communicating horn resection. The patients were assessed at the 1st, third, and sixth months, showing a marked improvement in their dysmenorrhea. In addition, there was an improvement in the depressive state; there was no change in the volume of her menstrual bleeding, and one of these patients achieved pregnancy with normal prenatal control and cesarean delivery, obtaining a full-term newborn without complications.


 Clinical Relevance:


Description of a novel microsurgical technique for the management of the hemi-uterus with a non-communicating functional rudimentary cavity, which could benefit not only the reduction of associated symptoms but could also become an alternative to improve fertility.

Enrique Herrera, Médico especialista en Endocrinología y Medicina Reproductiva. Universidad del Valle, Facultad de Medicina, Departamento de Ginecología y Obstetricia, Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0003-1308-8083

 

William Andres Piñeros Castillo, Universidad del Valle, Cali, Colombia. Hospital Universitario del Valle “Evaristo García”, Cali, Colombia

orcid_id14.png https://orcid.org/0000-0002-0171-2304

 

Marlly Paola Paredes Soto, Médico especialista en Ginecología y Obstetricia. Universidad del Valle, Cali, Colombia. Hospital Universitario del Valle “Evaristo García”, Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0002-7287-9689

 
Herrera, E., Piñeros Castillo, W. A., & Paredes Soto, M. P. (2023). Microsurgical technique for reconstruction of Hemi-uterus with non-communicating rudimentary uterine horns. Colombia Medica, 53(2), e5004855. https://doi.org/10.25100/cm.v53i2.4855

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Received 2021-05-06
Accepted 2022-07-12
Published 2023-05-04