Background: Type IIA1b anomalies of the Mullerian system are rare. Traditionally, the method of treatment for such anomalies has been laparotomy.
Case: We discuss a case of this specific anomaly treated by resecting the non-communicating horn with the harmonic scalpel (Ethicon EndoSurgery, Cincinnati, Ohio) by first confirming a lack of communication with hysteroscopy, followed by chromotubation to demonstrate unilateral spill from the right side without leak from the area of dissection.
Conclusion: Minimally invasive techniques are an excellent alternative to laparotomy for correction of problems related to Mullerian anomalies.