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Laparoscopic uterovaginal anastomoses for cervical agenesis

Suy Naval, DNB R Naval, MS, FMAS Sud Naval, MD, DMAS A Padmawar, MD, DNB
Epublication WebSurg.com, Jun 2017;17(06). URL: http://websurg.com/doi/vd01en4965

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  • 2017-06-18
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Cervical agenesis occurs in one in 80,000 to 100,000 births. According to the American Fertility Society, cervical agenesis should be classified as a type 1b Müllerian anomaly. According to the ESHRE/ESGE classification, it is classified in class C4 category. This is the case of a 16 year-old female patient with primary amenorrhea and episodes of cyclical lower abdominal pain for one year. After complete examination and investigations, diagnosis of isolated cervical agenesis with hematometra and left ovarian chocolate cyst was established. Laparoscopic uterovaginal anastomoses were performed using an innovative technique and an appropriate management of endometriosis. A hysteroscopy was later performed and showed anastomotic patency. As a result, the patient has been experiencing spontaneous regular menstruation for nine months.