Gynatresia: Three Uncommon Clinical Types

Maliphant, R. G.

doi:10.1136/bmj.2.4576.555

Cited by 14 publications

(2 citation statements)

References 6 publications

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“…Classical types of cervical dysgenesis are cervical aplasia lacking a uterine cervix which is subdivided into (a) cervical body consisting of fibrous band, (b) an intact cervical body with obstruction of the cervical OS (c) stricture of the midportion of the cervix with a bulbous tip and no identifiable cervical lumen and (d) fragmentation of the cervix. 2 These cervical anomalies are classified as C0 (normal cervix), C1(septate cervix), C2 (double normal CDT (3), Cervical reconstruction (4), TAH (4) and UVA (1) Maliphant 3 1 Fragmentation Cervical reconstruction Antilla et al 4 1 Fibrous cord CDT Helbing 5 1 Fibrous cord CDT Farber and Merchant 6 2 Fibrous cord CDT (2)…”

Section: Discussionmentioning

confidence: 99%

Successful management of cervical dysgenesis: Case report and review

et al. 2023

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Cervical agenesis or dysgenesis is a rare Mullerian anomaly that is usually associated with vaginal aplasia. A literature review revealed reports of 83 cases including ours, of which 57 (68.6%) presented with obstruction of the external OS, 11 (13.2%) had the cervix replaced by a fibrous cord and 5 (6.02%) had a fragmented cervix. A total of 24 (28.9%) were managed by core and drilling technique (CDT), 16(19.2%) patients underwent uterovaginal anastomosis (UVA), 7(8.4%) underwent total abdominal hysterectomy preserving the ovaries and 5 (6.02%) were managed by cervical reconstruction. Unfortunately, 31 failed to return after their clinical and radiological diagnosis was confirmed. Early diagnosis and treatment are necessary to avoid long-term complications.

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Section: Discussionmentioning

confidence: 99%

Successful management of cervical dysgenesis: Case report and review

et al. 2023

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“…The endometrial cavity was directly attached to the vaginal apex (bypassing or excising the atretic cervix) in 8 women. [4][5][6][7][8]19,25 In 9 women an instrument was bluntly pushed from the endometrial cavity through the atretic cervix to the vagina, followed by the placement of a stent. 1,11,13,15,22 In 7 women the uterine fundus and atretic cervix were vertically incised, the vagina or neovagina entered, and a stent sutured in place along the entire length of the incision to remain for a variable period of time.…”

Section: Discussionmentioning

confidence: 99%