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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


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.

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