Laparoscopic adenomyomectomy in the single uterus of the Uterine didelphys

Abstract

Abstract Background Because the surgical approach was in challenging, we adjusted adnomyomectomy in the single uterus of a patient with uterus didelphys and adenomyosis and this is the first reported case that was successfully treated. Case presentation A 31-year-old primipara woman with dysmenorrhea and hypermenorrhea and a known history of uterus didelphys and left kidney agenesis was referred to our hospital. Ultrasonography revealed adenomyosis in the right uterus. She had a plan to have another child and wanted to preserve fertility. Laparoscopic adenomyomectomy was performed in the right uterus with conservation of the original structure of uterine didelphys. Transient occlusion of uterine artery (TOUA) was employed in the right uterine artery, which inhibited the circulation to the right uterus. The incised adenomyosis lesion weighed 20 g, operative time was 55 min, and estimated blood loss was 50 mL. After 5-day hospitalization, the patient was discharged without any notable complications. After 7 months of the surgery, symptoms, and adenomyoma on ultrasonography were improved. To the best of our knowledge, this is the first report of laparoscopic adenomyomectomy surgery performed on a patient with uterine didelphys. Conclusion Laparoscopic adenomyomectomy can be considered as a feasible treatment option for patients with uterus didelphys who want to preserve fertility.