Abdominal surgical approach to a case of complete cervical and partial vaginal agenesis

Ayse Gurbuz, Ayşe Gürbüz, Ates Karateke, Ateş Karateke, Berna Haliloglu, Berna Haliloğlu
Fertility and sterility · 2005 · vol. 84(1) , pp. 217.e9–217.e11 · doi:10.1016/j.fertnstert.2005.01.112 · PMID:16009181 · W2121288396
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This case report describes the successful abdominal creation of a uterovaginal canal in a 15-year-old with complete cervical and partial vaginal agenesis, resulting in regular menstruation and normal follow-up imaging.

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Abstract

OBJECTIVE: To construct a uterovaginal canal in a patient with a complete cervical agenesis and partial vaginal agenesis. DESIGN: Case report. SETTING: Zeynep Kamil Women's and Children Hospital. PATIENT(S): A 15-year-old woman presented with lower abdominal pain. On examination, partial vaginal agenesis with a 4-cm vagina was noted. A pelvic ultrasonography revealed hematometra and the absence of a cervix. INTERVENTION(S): Surgical therapy included creation of an ostium by making 1.5-cm midline vertical hysterotomy incision, trimming away the fibrous tissue at the distal portion of uterus, and attaching the proximal end of the vagina to the uterus by the abdominal route. A stent was left in place for 2 weeks. MAIN OUTCOME MEASURE(S): Pelvic ultrasonography and clinical follow-up evaluation. RESULT(S): Regular menstrual periods were observed for 6 months beginning at the first month. The follow-up pelvic ultrasonography was normal. CONCLUSION(S): Cervicoplasty attaching the mucosal lining of the endometrium to that of the vagina permits the creation of a patent cervical canal with short stenting time.

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MeSH descriptors

Cervix Uteri Cervix Uteri Surgically-Created Structures Vagina Vagina Abdomen Abdomen Abdominal Pain Abdominal Pain Abdominal Pain Adolescent Cervix Uteri Female Genitalia, Female Genitalia, Female Genitalia, Female Humans Vagina

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License: CC0 · commercial use OK