Laparoscopic cervico-isthmic anastomosis for old traumatic disjunction between the cervix and the uterine corpus: a case report and literature review

Old traumatic disjunction between the cervix and the uterine corpus is very rare case. In most cases, it is not immediately noticed until the onset of other symptoms, such as amenorrhea, periodic abdominal pain and so on. Scanty cases of anastomosis surgery via laparoscope have been reported. We rep...

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Bibliographic Details
Published in:BMC women's health 2023-03, Vol.23 (1), p.109-109, Article 109
Main Authors: Zhu, Hongxia, Zhu, Minjiao, Wang, Jun
Format: Article
Language:English
Subjects:
Abdomen
Abdominal pain
Abdominal Pain - etiology
Adolescent
Adult
Amenorrhea
Amenorrhea - etiology
Anastomosis
Anastomosis, Surgical - adverse effects
Care and treatment
Case Report
Case reports
Catheters
Causes of
Cervico-isthmic anastomosis
Cervico-isthmic disjunction
Cervix
Cervix Uteri - surgery
Complications and side effects
Cyclic abdominal pain
Cysts
Diagnosis
Endometriosis
Female
Females
Fertility
Fracture
Humans
Infertility
Laparoscopic surgery
Laparoscopy
Laparoscopy - adverse effects
Ligaments
Literature reviews
Magnetic resonance imaging
Menstruation
Ovaries
Pain
Patients
Pelvic trauma
Pelvis
Primary amenorrhea
Surgery
Surgical anastomosis
Trauma
Ultrasonic imaging
Uterus
Vagina
Womens health
Young Adult
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Summary:Old traumatic disjunction between the cervix and the uterine corpus is very rare case. In most cases, it is not immediately noticed until the onset of other symptoms, such as amenorrhea, periodic abdominal pain and so on. Scanty cases of anastomosis surgery via laparoscope have been reported. We report here a 23-year-old young woman with the primary amenorrhea due to traumatic cervico-isthmic disjunction. The patient had a closed pelvic fracture at the age of 4 and has experienced periodic lower abdominal pain since the age of 17 years. A complete disjunction between the cervix and the uterine corpus was diagnosed. Laparoscopic cervico-isthmic anastomosis was performed to restore the continuity of the endometrial cavity and cervical canal. After this surgery, normal menstruation was resumed without cyclic abdominal pain. Laparoscopic cervico-isthmic anastomosis could reconstruct the uterine outflow tract successfully, alleviate symptoms, and achieve a good short-term outcome.
ISSN:1472-6874
1472-6874
DOI:10.1186/s12905-023-02263-w