Finger-assisted laparoscopy to remove a noncommunicating uterine horn

A 21-year-old-woman had a double uterus with noncommunicating right uterine horn and communicating left uterine horn. The pelvic cavity showed evidence of endometriosis and adhesions from previous laparotomy. A finger was inserted under laparoscopic observation without gas leakage through an iris access port in the lower abdominal wall, which required only a small incision. An index finger was adequate to separate and manipulate inflamed tissue and to assess a connection of horns.