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 language | English |
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Pages (from-to) | 1957.e13-1957.e15 |
Journal | Fertility and Sterility |
Volume | 91 |
Issue number | 5 |
DOIs | |
State | Published - May 2009 |
Keywords
- Müllerian anomalies
- Uterine torsion
- cervical agenesis
- hematometra
- vaginal agenesis