PMC3304262_01
Left endometrioma adherent to the uterus
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F1
The left-sided endometrioma of 4 to 5 centimeters, adherent to the uterus [Figure 1], was separated from the uterus using bipolar electrocautery and a harmonic scalpel.
A band connecting the right rudimentary horn with the uterus
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F2
The right-sided mass was attached to the uterus with a fibrotic band [Figure 2].
Uterus and the rudimentary horn
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F3
We suspected the mass to be a noncommunicating rudimentary horn, as the right tube and round ligament were lateral [Figure 3].
Ureteric course identified
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F4
The right-sided ureter course was identified well beneath the rudimentary horn [Figure 4].
Coagulating round ligament attached to the rudimentary horn
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F5
The round ligament was attached to the rudimentary horn, which was separated using a harmonic scalpel [Figure 5].
Band coagulated using harmonic scalpel
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F6
The rudimentary horn was freed from all the sides using bipolar and harmonic scalpel, along with the fibrotic band that attached the horn to the uterus [Figure 6].
Hemostasis achieved
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F7
Hemostasis was achieved [Figure 7].
Uterus with tubes, with both ovaries conserved and rudimentary horn excised. The left ovary & tube, uterus and the right ovary were preserved
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F8