• Enrique Herrera Castañeda, William Andrés Piñeros Castillo, and Marlly Paola Paredes Soto.
• Universidad del Valle, Facultad de Medicina, Departamento de Ginecología y Obstetricia, Cali, Colombia.
• Colomb Medica. 2022 Apr 1; 53 (2): e5004855e5004855.

Case DescriptionThree cases of patients diagnosed with Hemi-uterus with non-communicating functional rudimentary cavity are reported.Clinical FindingsAdolescent patients with the presence of disabling pelvic pain during menstrual periods, in addition to depressive states and functional disability secondary to pain.Treatment And OutcomeReconstruction of Hemi-uterus with non-communicating functional rudimentary cavity using a microsurgical technique, without the need for non-communicating horn resection. The patients were assessed at the 1st, third, and sixth months, showing a marked improvement in their dysmenorrhea. In addition, there was an improvement in the depressive state; there was no change in the volume of her menstrual bleeding, and one of these patients achieved pregnancy with normal prenatal control and cesarean delivery, obtaining a full-term newborn without complications.Clinical RelevanceDescription of a novel microsurgical technique for the management of the hemi-uterus with a non-communicating functional rudimentary cavity, which could benefit not only the reduction of associated symptoms but could also become an alternative to improve fertility in these patients.Copyright © 2022 Colombia Medica.

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