In a groundbreaking medical milestone, doctors announced on Thursday that they have successfully treated an exceptionally rare case of half uterus, known as adenomyosis in a non-communicating rudimentary horn – a first-ever occurrence in India.
According to a statement from C.K. Birla Hospital in Gurugram, the patient, a 27-year-old woman, sought medical assistance due to pelvic pressure, persistent pain on the right side of her lower abdomen and pelvis, and infertility issues.
Clinical examinations initially indicated a large firm lump on the right side of her lower abdomen, initially suspected to be a fibroid. However, detailed diagnostic hysteroscopy and robotic myomectomy revealed a left unicornuate uterus with adenomyosis in the non-communicating right horn, attached to a large fibroid-like mass.
Addressing the complex anomaly required precise dissection and extraction while ensuring the preservation of surrounding structures such as the intestines and urinary bladder, the doctors explained.
Dr. Aruna Kalra, Director of Obstetrics and Gynaecology at the hospital, emphasized the uniqueness of the case, citing the rarity of a functioning non-communicating rudimentary horn combined with adenomyosis. The successful treatment involved a complete robotic-assisted excision of the entire horn, resulting in significant improvement in the patient’s condition.
The final histopathology confirmed adenomyosis in the rudimentary horn, contributing valuable insights to the limited cases reported globally. Dr. Kalra noted that such cases can present various clinical manifestations, ranging from mild pain to complications like pelvic pain, endometriosis, or obstetrical issues.
Following the procedure, the patient was discharged the next day and is poised to embark on her fertility journey soon, as per the doctor’s update.
