OBJECTIVE To describe the diagnosis and the management of hematometra in a patient with unicornuate uterus with noncommunicating functional horn (hemi uterus and rudimentary uterine hemicavity). DESIGN Video case report. SETTING Minimally invasive gynaecology unit. PATIENT(S) Sixteen-year-old nulliparous woman admitted to the gynaecologic emergency department with pelvic pain during menses. INTERVENTION(S) Two-dimensional transvaginal ultrasound, magnetic resonance imaging, and laparoscopic rudimentary horn resection. MAIN OUTCOME MEASURE(S) Description of a case of anomaly of the female reproductive tract treated by laparoscopy. RESULT(S) After pain reduction and stabilization of clinical condition, ultrasound and magnetic resonance were performed, which detected a hemi uterus with a right rudimentary uterine hemicavity and a hematosalpinx. The removal of the right rudimentary uterine horn was successfully performed. The patient was in good health at the 3-month follow-up visit. CONCLUSION(S) Laparoscopic amputation of a functional rudimentary horn is considered the basic and traditional surgical option for women with hemiuterus. A detailed diagnostic evaluation should be performed to avoid misdiagnoses of other anomalies with blind hemicavity, which may be treated by hysteroscopy. Laparoscopic surgery with minimally invasive approach could be an essential tool to treat these cases, achieving optimal results with low postsurgical pain and a short hospital stay.

中文翻译：

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具有非连通功能角的单角子宫：诊断性检查和腹腔镜角截肢

目的 描述单角子宫​​与功能性角（半子宫和基本子宫半腔）患者血检的诊断和处理。设计视频案例报告。设置微创妇科病房。患者 16 岁的未生育妇女因月经期间盆腔疼痛被送入妇科急诊科。干预（S）二维经阴道超声、磁共振成像和腹腔镜基本角切除术。主要观察指标 描述一例经腹腔镜检查治疗的女性生殖道异常病例。结果（S） 疼痛减轻和临床情况稳定后，进行超声和磁共振检查，检测到半子宫，右侧不完整的子宫半腔和输卵管。成功切除右侧残宫角。患者在 3 个月的随访中健康状况良好。结论(S) 腹腔镜截肢功能性残角被认为是子宫偏侧女性的基本和传统手术选择。应进行详细的诊断评估，以避免误诊其他可通过宫腔镜治疗的盲性半腔畸形。采用微创方法的腹腔镜手术可能是治疗这些病例的重要工具，可在术后疼痛低和住院时间短的情况下获得最佳效果。结论(S) 腹腔镜截肢功能性残角被认为是子宫偏侧女性的基本和传统手术选择。应进行详细的诊断评估，以避免误诊其他可通过宫腔镜治疗的盲性半腔畸形。采用微创方法的腹腔镜手术可能是治疗这些病例的重要工具，可在术后疼痛低和住院时间短的情况下获得最佳效果。结论(S) 腹腔镜截肢功能性残角被认为是子宫偏侧女性的基本和传统手术选择。应进行详细的诊断评估，以避免误诊其他可通过宫腔镜治疗的盲性半腔畸形。采用微创方法的腹腔镜手术可能是治疗这些病例的重要工具，可在术后疼痛低和住院时间短的情况下获得最佳效果。