Laparoscopic Management of a Noncommunicating Uterine Horn in a Patient with an Acute Abdomen.Amara, D. Paul M.D.; Nezhat, Farr M.D.; Giudice, Linda M.D., Ph.D.; Nezhat, Camran M.D.Surgical Laparoscopy & Endoscopy: February 1997 Brief Clinical Report: PDF Only Abstract Summary: A 13-year-old girl with a history of cloacal anomalies presented with acute abdominal pain. Abdominal ultrasound was not definitive, and vaginal probe ultrasound was precluded by the patient's stenotic vagina. Magnetic resonance imaging delineated a left hematometra and hematosalpinx as well as a more normal-appearing right hemiuterus. Operative laparoscopy was used to lyse the extensive pelvic adhesions in a patient with a history of an impeforate anus and to respect a left rudimentary uterine horn with outflow obstruction. A review of cases in the world literature reveals that operative laparoscopy can be used to treat these patients successfully. (C) Lippincott-Raven Publishers.