PMC10162894_01
A) axial view CT scan image showing uterus didylphus with hematometra and hematocolpos of the right side (red arrows); the left horn was apparently normal (yellow arrow); B) coronal view
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F1
At our center, a contrast-enhanced computed tomogram scan of the abdomen was obtained that revealed uterine didelphys with distended right endometrial cavity along with obstructed right hemivagina and hematocolpos (Figure 1).
A) coronal view CT scan showing a large endometriotic cyst arising from the right ovary and reaching up to the epigastrium (red arrow); cyst was displacing the small bowel loops cranially; B) sagittal view
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F2
A large ovarian cystic lesion (13 x 21 x 22 cm) was seen, extending up to the level of the pancreas, displacing the bowel loops (Figure 2).
the right renal agenesis was noted on the computed tomography image; the left kidney was hypertrophic (arrow)
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F3
The right kidney could not be visualized (Figure 3).
a large cyst arising from the pelvis was encountered during laparoscopy; cyst was aspirated completely; the distended right uterine horn then could be visualized in the pelvis (arrow)
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F4
Diagnostic laparoscopy revealed a large cystic lesion occupying most of the abdominal cavity (Figure 4).
approximately 4 liters of chocolate-colored fluid was aspirated from the endometriotic cyst
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F5
The cyst was then punctured in a controlled fashion and the content was aspirated; approximately four liters of chocolate-colored fluid was suctioned (Figure 5).
laparoscopic view of pelvis after removal of endometriotic cyst: uterus didelphys with distended right uterine horn (red arrow) and normal left horn (left horn); left ovary appeared normal (green arrow)
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F6
The bifid uterus was seen with a distended, enlarged right horn and a small left horn (Figure 6).
right hemihysterectomy was performed preserving the left uterine horn
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F7
The obstructed right horn was then excised using an ultrasonic shear device and the stump was closed with polypropylene sutures (Figure 7).