Pregnancy with cervical dysgenesis

Al‐Jaroudi, Dania; Saleh, Ahmad; Al-Obaid, Solaiman; Agdi, Mohammed; Salih, Abdalla; Khan, Faryal

doi:10.1016/j.fertnstert.2011.09.029

Cited by 10 publications

(4 citation statements)

References 9 publications

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“…MRI is crucial in the assessment of these women, so that all associated anomalies are discovered preoperatively and the number of surgical interventions is minimized . Cervical atresia is a rare anomaly . Select cases of partial atresia, with the presence of fragmented normal cervical glands, may be amendable to surgical correction.…”

Section: Limitation Of the Afs Classification System And Complex Anommentioning

confidence: 99%

“…Select cases of partial atresia, with the presence of fragmented normal cervical glands, may be amendable to surgical correction. In cases of complete absence of the cervix, the lack of normal cervical glands leads to high rates of sepsis due to ascending infection with current surgical techniques . Lastly, complex anomalies may need a specialized treatment plan, depending on the anatomy present and the surgical techniques available to address each portion of the Müllerian system.…”

Section: Limitation Of the Afs Classification System And Complex Anommentioning

confidence: 99%

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Müllerian duct anomalies: Embryological development, classification, and MRI assessment

Robbins

Broadwell

Chow

et al. 2014

Magnetic Resonance Imaging

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Müllerian duct anomalies (MDA) occur due to abnormal development of the uterus, cervix, and vagina, many times affecting a woman's ability to conceive and carry a pregnancy to term. The spectrum of possible abnormalities are related to the development of two separate Müllerian systems, which then fuse and subsequently undergo degeneration of the fused segments. This multiphasic development explains the multiple variations within the scheme of MDA classification. The purpose of this article is to review the embryologic development of the Müllerian ducts, relate the development to the most commonly used classification system, and review the magnetic resonance imaging (MRI) assessment of Müllerian duct anomalies. A brief review of the treatment options, as they relate to the imaging diagnosis, will be provided as well.

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Section: Limitation Of the Afs Classification System And Complex Anommentioning

confidence: 99%

Section: Limitation Of the Afs Classification System And Complex Anommentioning

confidence: 99%

Müllerian duct anomalies: Embryological development, classification, and MRI assessment

Robbins

Broadwell

Chow

et al. 2014

Magnetic Resonance Imaging

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“…Congenital cervical atresia including cervical agenesis and cervical dysgenesis is a rare Mullerian abnormality of the female reproductive tract, first reported by Ludwig in 1900 . The incidence is about one in every 80 000 to 100 000 births . It is known to be associated with both partial and complete vaginal aplasia and renal anomalies .…”

Section: Introductionmentioning

confidence: 99%

Outcomes in patients undergoing robotic reconstructive uterovaginal anastomosis of congenital cervical and vaginal atresia

Zhang

Chen

Hua

2017

Robotics Computer Surgery

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ObjectiveTo introduce our experience of robotic surgery of reconstructive uterovaginal anastomosis and operative outcomes in congenital cervical and vaginal atresia patients.MethodsClinical observation and follow‐up of four patients with congenital cervical and vaginal atresia who underwent robotic reconstruction of cervix and vagina by SIS (small intestinal submucosa, SIS) graft.ResultsAverage patient age was 13.8 ± 2.2. Patients complained of severe periodic abdominal pain. Diagnosis was made according to clinical characteristics, physical examination, MRI and classified by ESHRE/ESGE system. All patients underwent reconstruction of cervix and vagina by uterovaginal anastomosis by SIS graft. Average operation time was 232.5 ± 89.2 min, average blood loss was 225.0 ± 95.7 mL. After surgery, all patients have regular menstruation without pain. Average follow up was 12 months, average vagina length was 8.9 ± 0.3 cm, average vagina width was 2.9 ± 0.1 cm.ConclusionRobotic assisted reconstruction of cervix and vagina is feasible from our experience, enlarged cases and additional studies are required.

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“…4 Due to complications associated with failure of anastomosis, like infection and stenosis, and also the less likelihood of attaining a viable pregnancy with cervical agenesis, hysterectomy is often preferred in cases of complete cervical agenesis. 5,6 It should be due noted that Mullerian anomalies are often associated with renal anomalies and thus should be specifically investigated during preoperative evaluation. 7 With the advances in minimal invasive surgery, primary key goal in patients with cervical agenesis has been reconstructive surgery with uterovaginal anastomosis.…”

Section: Discussionmentioning

confidence: 99%

A rare case of cervical agenesis with agenesis of the upper 2/3rd vagina with hematometra

Makwana

Patel

Halpati³

2023

Int J Reprod Contracept Obstet Gynecol

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Cervical agenesis is an extremely rare form of congenital Mullerian anomaly. Due to the rarity of the cases with different presentations ranging from cervical agenesis to dysgenesis (fragmentation, fibrous cord, obstruction of external os), along with the functionality of the uterus, there are numerous conservative surgical options involving uterovaginal anastomosis, cervical reconstruction, and cervical canalization, and total hysterectomy in cases where conservative surgical procedures fail or not feasible. In our case, the patient was a 32-year-old female with primary amenorrhea with, a history of marriage for 6 years and a history of surgery for primary amenorrhea during adolescence. During the present visit, she had severe abdominal pain due to massive hematometra with a short blind vagina. She was planned for laparoscopic Uterovaginal anastomosis but converted to abdominal hysterectomy due to the large size of uterus, lack of uterine supports, and high length of the defect between the lower end of the uterus and vaginal end. Due to the lack of proper guidelines and variations in clinical presentation, a case-based approach is required.

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Pregnancy with cervical dysgenesis

Cited by 10 publications

References 9 publications

Müllerian duct anomalies: Embryological development, classification, and MRI assessment

Müllerian duct anomalies: Embryological development, classification, and MRI assessment

Outcomes in patients undergoing robotic reconstructive uterovaginal anastomosis of congenital cervical and vaginal atresia

A rare case of cervical agenesis with agenesis of the upper 2/3rd vagina with hematometra

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