Congenital absence of uterine cervix

Lakshmy, S.; Rose, Nicholas E.

doi:10.18203/2320-1770.ijrcog20163462

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…Patients with fragmented atresia or cervix usually is a bad candidate for canalization so the total hysterectomy is a treatment option. 8 Hysterectomy is the treatment of choice for cervical agenesis because of the common complications of cervical recanalization and difficulty of getting pregnant. 4,11 Mullerian duct anomalies have separated into so many classifications in recent years, but this classification is to expose various clinical manifestations, management and prognosis.…”

Section: Resultsmentioning

confidence: 99%

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Uterus Didelphys dengan Agenesis Servik Bilateral

Rizary¹,

Hendry²

2020

AOJ

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Background : The mullerian duct anomaly is a congenital abnormality of the female reproductive system caused by abnormal embryological development during pregnancy. If accompanied by cervical agenesis and infertility, intervention must be taken. Accurate diagnosis and proper treatment are very crucial to the future of reproduction and treatment of infertility in patients. Objective: Reporting the handling of cases of uterine didelphys accompanied by bilateral cervical agenesis. Method : Case report Case: Reported cases of women aged 34 years with primary amenorrhea and 9 years primary infertility, not typical cyclic pain, normal secondary sex development and from gynecological examination obtained cervical agenesis. Transvaginal ultrasound examination found a mass with the appearance of adenomyosis. Laparoscopic performed show 2 masses, 1 mass resembling adenomyosis with a size of 9x6x5cm located lateral to the left pelvis and another mass in the form of a hypoplastic uterus with a size of 2x2x1cm visible 2 tubes with 2 ovaries within normal limits. Uterine mass resembling adenomyosis with a location far from the vagina making it difficult to do anastomoses while other uterus hypoplasia and non-functional. Hysterectomies were performed on the mass of adenomyosis with the results of PA was adenomyosis. Conclusion: The uterus didelphys with bilateral cervical agenesis with 1 uterine adenomyosis and located in the pelvic lateral it was difficult to do uterovaginal anastomose so that hysterectomy was performed. Second uterine was hypoplasia and non-functional so that no action was taken. Need to think about "future fertility" in these patients and various options for having children.

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Section: Resultsmentioning

confidence: 99%

“…The case that we report is didelphys uterus with bilateral cervical agenesis in primary amenorrhea patients which is a very rare case and even few have reported the same case. 8 It is necessary to think about the follow-up of infertility management in these patients with bilateral cervical agenesis and uterine didelphys.…”

Section: Resultsmentioning

confidence: 99%

Uterus Didelphys dengan Agenesis Servik Bilateral

Rizary¹,

Hendry²

2020

AOJ

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“…Other anomalies such as imperforate hymen must be considered. 5,6 Imaging modalities such as ultrasound and MRI are very helpful especially correlated with careful pelvic examination findings. The initial suspicion of cervical agenesis can be easily done by ultrasonography.…”

Section: Discussionmentioning

confidence: 99%

“…Three-dimensional ultrasonography can increase the ability to accurately describe cervical anatomy even though it requires an expert operator and special knowledge about anatomy. 5,7 At present the management of uterine cervical anomalies is controversial. It is advisable to carefully determine cervical anatomic abnormalities while considering the patient's wishes, after which a decision must be made for the final management.…”

Section: Discussionmentioning

confidence: 99%

Agenesis Serviks

Martadinata

Hendry

2019

AOJ

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Background : Cervical agenesis is an extremely rare congenital anomaly of female reproductive system with manifestation on the absence of uterine cervix with normal development of uterine and secondary sex signs. According to the American Fertility Society, cervical agenesis is classified as type IB Müllerian anomaly. Symptoms are include primary amenorrhea, cyclic abdominal lower pain and infertility.Objective : To report the treatment of cervical agenesis.Case Report : Reportedly, a woman, 28 years old, came with complaints of primary amenorrhea, cyclic abdominal lower pain and 3 years of primary infertility. From speculum and transvaginal ultrasonography examination, the uterine was slightly smaller than normal, without cervical uterine, found adhesion, both ovarian were normal. Laparoscopic utero-vaginal anastomosis was performed and catheter condom was maintained in the cervical canal for 3 months. Two weeks after catheter was removed, a hysteroscopy was performed, but the canal was found closed.Conclusion : In this case, after the laparoscopic utero-vaginal anastomosis was performed, the cervical canal which has been made, is found closed. So, a further evaluation is needed to get more effective results.Keywords: Type IB Müllerian anomaly, cervical agenesis, primary amenorrhea, infertility, laparoscopic utero-vaginal anastomosis

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“…In these cases, endometrium functions normally, but menstrual blood has no path to exit from vagina, leading to hematocolpos followed by hematometra formation. The condition can further aggravated with hematosalpinx and endometriosis if left undiagnosed [4]. Diagnosis can be made in early adolescent period (12-17 years) due to cyclic abdominal pain, but others cases may be diagnosed later with amenorrhoea.…”

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confidence: 99%

Congenital Absence of Cervix with Atrial Septal Defect In An Adolescent Girl

Donel,

Mathew,

2024

IJAR

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Background-Cervical agenesis is a rare congenital Mullerian anomaly. Its association with vaginal agenesis is further rare, reported in 39% of cases of cervical agenesis. Case Presentation-Case report of a 15-year-old adolescent girl congenital absence of cervix with atrial septal defect is reported here. Case presented with a history of Primary amenorrhea with cyclical pain in the abdomen for 3-4 months. Investigations were done. The diagnosis was made & was advised for surgical correction. KEYWORDS: agenesis, Mullerian anomaly, Absence of cervix.

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Congenital absence of uterine cervix

Cited by 4 publications

References 15 publications

Uterus Didelphys dengan Agenesis Servik Bilateral

Uterus Didelphys dengan Agenesis Servik Bilateral

Agenesis Serviks

Congenital Absence of Cervix with Atrial Septal Defect In An Adolescent Girl

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