Asherman’s syndrome is a global disease with a significant impact on the reproductive career among women. Its exact prevalence is quite difficult to ascertain as there are different methods to diagnose and several classifications being used. Its increasing incidence has been credited to a great number of uterine surgeries and improved accuracy of imaging studies. The clinical manifestations of this condition range from secondary amenorrhea, hypomenorrhea, dysmenorrhea, infertility, and recurrent pregnancy loss. Hysteroscopy played an important role in its diagnosis and management.

Human ; Female ; Adult: 25-44 Yrs Old

This report discusses a rare case of adenomyosis in a noncommunicating functional rudimentary horn, initially described as a subserous myoma on imaging. A 35-year-old nulligravid presented with dysmenorrhea since menarche, acute right lower quadrant pain, and a palpable right pelvic mass. A myomectomy was initially planned, but during the laparoscopic procedure, a rudimentary horn adjacent to a unicornuate uterus was discovered. The patient underwent a second procedure for diagnostic hysteroscopy, diaphonoscopy, chromotubation, laparoscopic excision of the rudimentary horn, and right salpingectomy, recovering without complications. Histopathology revealed diffuse adenomyosis with proliferative endometrium. The case emphasizes the challenges in diagnosing such conditions through imaging. It highlights the importance of considering Müllerian anomalies in pelvic mass diagnoses, particularly when atypical symptoms or imaging findings are present.

Human ; Female ; Adult: 25-44 Yrs Old ; Adenomyosis

The case report discusses a rare occurrence of tubal pregnancy in a patient with uterine didelphys, managed using combined hysteroscopy and laparoscopy. A 29-year-old Gravida 2 Para 0 (0010) with a right tubal ectopic pregnancy alongside incidental uterine didelphys detected via physical examination and three-dimensional transvaginal ultrasound. The patient underwent a combined diagnostic and operative laparoscopy, where a right salpingectomy was performed using a harmonic scalpel. Diagnostic laparoscopy showed two uterine horns with each attached fallopian tube and ovary with an interostial length of 4 cm. Diagnostic hysteroscopy confirmed the presence of two separate uterine cavities and cervices without communication. The procedure demonstrated that the technique for laparoscopic salpingectomy in cases of uterine didelphys parallels that for a normal uterus. The use of combined hysteroscopy and laparoscopy proved effective in evaluating both the external uterine structure and internal cavity, facilitating accurate diagnosis and treatment of Müllerian anomalies with ectopic pregnancy.

Human ; Female ; Adult: 25-44 Yrs Old ; Hysteroscopy ; Laparoscopy ; Pregnancy, Tubal ; Uterine Didelphys