Horizontal uterine torsion in the setting of complete cervical and partial vaginal agenesis: a case report

Kenan Omurtag, Donna Session, Pavna Brahma, Angela Matlack, Carla Roberts

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objective: To report a case in which uterine torsion in a nulligravid female adolescent was noted upon surgical management of complete cervical and partial vaginal agenesis. Design: Case report. Setting: University hospital. Patient(s): A 13-year-old nulligravid adolescent female. Intervention(s): Ultrasound-guided vaginal exploration, diagnostic laparoscopy, and hysterectomy. Main Outcome Measure(s): Uterine torsion as complication of cervical agenesis and its management. Result(s): Complete cervical agenesis, hematometra, and resultant 180-degree horizontal uterine torsion and sacral entrapment. Conclusion(s): Cervical agenesis can be a risk factor for uterine torsion. Hysterectomy is a common treatment due to resultant hematometra, pelvic pain, and severe endometriosis, although rare case reports show success with uterovaginal recanalization in cases with cervical dysgenesis.

Original languageEnglish
Pages (from-to)1957.e13-1957.e15
JournalFertility and Sterility
Volume91
Issue number5
DOIs
StatePublished - May 2009
Externally publishedYes

Keywords

  • Müllerian anomalies
  • Uterine torsion
  • cervical agenesis
  • hematometra
  • vaginal agenesis

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