case_images: PMC11758547_01
case_images: PMC11758547_02
case_images: Pre- and intraoperative images. (a, b) Preoperative ultrasound images and (c, d) intraoperative images from laparoscopy and hysteroscopy are shown. (a) Regarding uterine cavity morphology, the uterine cavity is divided into two cavities by the septum. (b) Cysts can be seen in both ovaries. (c) The uterus, bilateral fallopian tubes, and ovaries under laparoscopy are shown. The arrows indicate the presence of uterine and bilateral ovarian cysts and (d) in the left uterine cavity under hysteroscopy, the opening of the left fallopian tube can be seen, while the opening of the right fallopian tube is not observed.
case_images: 10.1177_03000605241311167-fig1.jpg
case_images: PMC11758547_03_10.1177_03000605241311167-fig1.jpg
case_images: fig1-03000605241311167
case_images: Bilateral ovarian cystectomy and adhesiolysis of the intestinal tract were performed under laparoscopy (Figure 1(c)). The lower left side of the uterus showed the opening of the left uterine horn and fallopian tube (Figure 1(d)). However, upon careful examination of the entire uterine cavity and cervical canal, we did not find the opening of the right uterine horn and fallopian tube or any connection with the contralateral uterine cavity (Figure 1(d)).
case_images: PMC11758547_03
case_images: Pre- and intraoperative images. (a, b) Preoperative ultrasound images and (c, d) intraoperative images from laparoscopy and hysteroscopy are shown. (a) Regarding uterine cavity morphology, the uterine cavity is divided into two cavities by the septum. (b) Cysts can be seen in both ovaries. (c) The uterus, bilateral fallopian tubes, and ovaries under laparoscopy are shown. The arrows indicate the presence of uterine and bilateral ovarian cysts and (d) in the left uterine cavity under hysteroscopy, the opening of the left fallopian tube can be seen, while the opening of the right fallopian tube is not observed.
case_images: 10.1177_03000605241311167-fig1.jpg
case_images: PMC11758547_03_10.1177_03000605241311167-fig1.jpg
case_images: fig1-03000605241311167
case_images: Bilateral ovarian cystectomy and adhesiolysis of the intestinal tract were performed under laparoscopy (Figure 1(c)). The lower left side of the uterus showed the opening of the left uterine horn and fallopian tube (Figure 1(d)). However, upon careful examination of the entire uterine cavity and cervical canal, we did not find the opening of the right uterine horn and fallopian tube or any connection with the contralateral uterine cavity (Figure 1(d)).
case_images: Exposed right uterine cavity after dissecting the septum under hysteroscopy.
case_images: 10.1177_03000605241311167-fig2.jpg
case_images: PMC11758547_03_10.1177_03000605241311167-fig2.jpg
case_images: fig2-03000605241311167
case_images: The right uterine horn and fallopian tube opening were visualized in the lower right portion of the uterine cavity, as well as multiple endometrial polyps on the right and posterior walls (Figure 2).
case_images: PMC11758547_04
case_images: PMC11758547_05
case_images: Morphology of uterine cavity under hysteroscopy after treatment. Hysteroscopy verified the accurate positioning of the uterine cavity stent and the wide uterine cavity, and there was clear visualization of the uterine horns and bilateral fallopian tube openings. Minor adhesions were observed at the base of the uterine cavity and were carefully dissected.
case_images: 10.1177_03000605241311167-fig3.jpg
case_images: PMC11758547_05_10.1177_03000605241311167-fig3.jpg
case_images: fig3-03000605241311167
case_images: Three months after the surgery, a follow-up hysteroscopy confirmed the proper placement of the uterine cavity stent, wide uterine cavity, and clear visibility of the uterine horns and fallopian tube openings on both sides, with no endometrial polyps (Figure 3). However, minor adhesions were noted at the base of the uterine cavity (Figure 3).
case_images: PMC11758547_06