LAPAROSCOPIC MANAGEMENT OF A NONCOMMUNICATING UTERINE HORN IN A PATIENT WITH AN ACUTE ABDOMEN

A 13-year-old girl with a history of cloacal anomalies presented with acute abdominal pain. Abdominal ultrasound was not definitive, and vag inal probe ultrasound was precluded by the patient's stenotic vagina. Magnetic resonance imaging delineated a left hematometra and hematosal pinx as well as a more normal-appearing right hemiuterus. Operative la paroscopy was used to lyse the extensive pelvic adhesions in a patient with a history of an imperforate anus and to resect a left rudimentar y uterine horn with outflow obstruction. A review of cases in the worl d literature reveals that operative laparoscopy can be used to treat t hese patients successfully.