ReviewCRSLS : MIS case reports from SLS
Minimally Invasive Management of a Mullerian Anomaly: A Clinical Decision-Making Tree.
Review in CRSLS : MIS case reports from SLS. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To describe the presentation and management of a symptomatic Müllerian duct abnormality in a teenager and propose an evidence based clinical decision-making tree on when to treat based on a thorough literature review. Case Presentation: A 17-year-old nulligravid woman presented with a 5-year history of menorrhagia, dysmenorrhea and pelvic pain with medical history significant for a congenitally absent left kidney and ureter. Pelvic ultrasound suggested a bicornuate uterus, but a pelvic MRI with/without contrast diagnosed her with a unicornuate uterus with a noncommunicating left rudimentary horn containing hematometra. The patient underwent surgical intervention with vaginoscopy, hysteroscopy, and eventually laparoscopic resection of left rudimentary horn, left salpinectomy, and an appendectomy which confirmed endometriosis. The patency of the right fallopian tube was confirmed with chromotubation and the patient's reproductive potential was maintained. Postoperatively, the patient was symptom free and started on hormonal suppression for endometriosis. Results: Based on this case and a thorough literature review we propose a clinical evidence based clinical decision-making tree on how to approach and treat mullerian abnormalities. Conclusion: Müllerian duct anomalies require individualized management for symptom relief, prevention of complications, and preserving reproductive potential. Our clinical decision-making tree provides a guide for clinicians. Further research is needed to optimize long term outcomes of these rare conditions.
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Registered trials
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