Primary cervico-uterine anastomosis in a patient with agenesis of the uterine isthmus: A case report and review

Arrested caudal extension of the fused Müllerian ducts, either complete or segmental, causes obstruction of the outflow tract. We describe a case of agenesis of the uterine isthmus and the procedure to establish the continuity of the outflow tract. A 15-year-old girl with cyclic pelvic pain and amen...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2018, Vol.44 (12), p.2199-2203
Main Authors: Richards, Amy, Phy, Jennifer L, Huang, Jaou-Chen
Format: Report
Language:English
Online Access:Get full text
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Summary:Arrested caudal extension of the fused Müllerian ducts, either complete or segmental, causes obstruction of the outflow tract. We describe a case of agenesis of the uterine isthmus and the procedure to establish the continuity of the outflow tract. A 15-year-old girl with cyclic pelvic pain and amenorrhea was found to have a 3-cm gap between the uterine body and the cervix. After cervico-uterine anastomosis via laparotomy she menstruated normally and was pain-free. Selected cases of arrested Müllerian duct extension can be corrected by primary anastomosis, which establishes anatomical continuity and restores menstruation and, possibly, future fertility.
ISSN:1447-0756
DOI:10.1111/jog.13779