Case Report

Uncommon Surgical Emergencies in the Adult Gynecologic Patient: Two Cases of Missed Diagnosis of Outflow Tract Obstruction from Congenital Uterine Anomalies

Table 1

Patient characteristics.

Case #1Case #2

Age29 years40 years
Gravidity parityG1P1G0P0
BMI60.7 kg/m236 kg/m2
Prior surgery(i) Cesarean section
(ii) Laparoscopic ovarian cystectomy
(i) Laparoscopic unilateral salpingectomy
(ii) Hysteroscopy
Mullerian anomalyUnicornuate uterusUnicornuate uterus
ESHRE/ESGE classification [5]U4aC0V0U4aC0V4
(Hypoplastic upper vagina)
Description of rudimentary hornObstructed
Noncommunicating
Cavitated
Obstructed
Noncommunicating
Cavitated
Etiology of rudimentary horn outflow tract obstructionNonfunctional fallopian tubeSalpingectomy
Approach to hemi-hysterectomyRobotic-assisted laparoscopyLaparoscopy