A newly married female having severe dysmenorrhoea. On sonography and MRI it was diagnosed as functional rudimentary horn. We took her for laparoscopy and found haematosalpinx and a globular bulky uterus without any demarcation of rudimentary horn. On hysteroscopy single cavity with one ostia visualized. We removed hematosalpinx with a triangular structure at junction of uterus with a tube on affected side which was attached to uterus above internal os.
Histopathology also confirmed the same. Later on, we found that two cavities are still persisting on USG when patient's dysmenorrhea recurred after 3 months. The diagnosis was clinched as complete septum with functional endometrium without any communication to cervix or other cavity. I thought of going for hysteroscopic resection but do not know how to go about resecting a complete septum. What precautions to be taken and from where to…
