Case Report
Volume 10 Issue 12 - 2021
Hematometra Secondary to Cervical Agenesis with Didelphys Uterus with No Communicating: A Case Report

Misgana Lulu Mokonnon* and Ahmed Siraj

Department of Obstetrics and Gynecology, Jimma University, Jimma, Ethiopia

*Corresponding Author: Misgana Lulu Mokonnon, Department of Obstetrics and Gynecology, Jimma University, Jimma, Ethiopia.
Received: October 01, 2021; Published: November 30, 2021




Abstract

Introduction: Mullerian agenesis a rare uterine anomaly accounts about 3% of uterine anomaly. The prevalence of congenital cervical agenesis or dysgenesis ranges from 1/80,000 to 1/100,000. Previously, the mainstay of treatment for congenital cervical malformations was hysterectomy. Currently through improving surgical technical and growing experience in the field of reconstructive techniques, conservative surgical management has become an option. We reported a case of complete cervical agenesis in a 13-year-old girl who underwent a successfully utero-vaginal communication opened.

Case Report: A 13 years old nulligravida lady, who never saw her menses yet. She was referred from local primary Hospital with a diagnosis of Hematometra secondary to cervical agenesis for possible MRI and Urogynegyncology evaluation. Initially she was presented to that Hospital for abdominal swelling of 1-year duration then diagnosed to have hematocolpometra secondary to plus cystic abdominal mass, for this she was operated and huge abdominal cyst removed and hymenectomy done but still hematometra is not evacuated then referred on 42nd post-operative day. She also has history of abdominal swelling and pelvic fullness of 3 weeks duration after operation was done. She has cyclical lower abdominal pain of 3 months duration. On Physical examination, she is well looking with stable vital sign. She has 16 weeks abdominopelvic mass boggy non tender smooth surface, she well-formed external female external genital with tanner stage 3 pubertal development on speculum examination vagina is well formed with length 7 - 8 cm long no cervix visible. Transabdominal Ultrasound Index Hematometra secondary to? plus? Didelphys uterus plus congenital absence of right kidney. With final diagnosis of hematometra secondary to cervical agenesis plus? Didelphys uterus plus congenital absence of right kidney septum resection done.

Conclusion: Congenital cervical agenesis, is currently classified as type C4 congenital malformation according to the European Society of Human Reproduction and Embryology (ESHRE) and the European Society for Gynaecological Endoscopy (ESGE) classification system of female genital tract anomalies, previously categorized as type IB congenital anomalies according to the American Fertility Society/American Society for Reproductive Medicine (AFS/ASRM) classification. The main objectives of treatment were symptoms relief, Achievements are to relieve symptoms, regular menstruation and restoring fertility. As this case septum resected and she was relieved from symptom and started to saw her menses.

Keywords: Cervical Agenesis; Didelphys Uterus

References

  1. Buttram VC., et al. “The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies and intrauterine adhesions”. Fertility and Sterility 6 (1988): 944-955.
  2. Grimbizis GF., et al. “The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies”. Human Reproduction 8 (2013): 2032-2044.
  3. Fujimoto VY., et al. “Congenital cervical atresia: Report of seven cases and review of the literature”. American Journal of Obstetrics and Gynecology 6 (1997): 1419-1425.
  4. Hovsepian DM., et al. “A combined surgical and radiologic technique for creating functional neoendocervical canal in a case of partial congenital cervical atresia”. Fertility and Sterility 1 (1999): 158-162.
  5. Olpin JD and Heilbrun M. “Imaging of müllerian duct anomalies”. Topics in Magnetic Resonance Imaging 6 (2010): E233-E250.
  6. Radhouane A., et al. “Successful pregnancy by IVF in a patient with congenital cervical atresia”. Asian Pacific Journal of Reproduction 3 (2015): 249-250.
  7. Grimbizis GF., et al. “The Thessaloniki ESHRE/ESGE consensus on diagnosis of female genital anomalies”. Human Reproduction 1 (2016): 2-7.
  8. Shah TN., et al. “Uterovaginal anastomosis for complete cervical agenesis and partial vaginal agenesis: A case report”. European Journal of Obstetrics and Gynecology and Reproductive Biology 174 (2014): 154-155.
  9. Sultana R., et al. “Effective uterovaginal anastomosis done in cervical agenesis with menouria”. Bangladesh Medical Journal Khulna 1-2 (2014).
  10. Helmy YA. “Cervical agenesis with a functioning uterus: Successful surgical treatment by Foley’s catheter stent: A case report”. Middle East Fertility Society Journal 1 (2017).
  11. Spence J., et al. “Uterovaginal anomalies: Diagnosis and current management in teens”. Current Women’s Health Reports6 (2003): 445-450.
  12. Al-Jaroudi D., et al. “Pregnancy with cervical dysgenesis”. Fertility and Sterility 6 (2011): 1355-1356.
  13. Rock JA., et al. “The clinical management of congenital absence of the uterine cervix”. International Journal of Gynecology and Obstetrics 3 (1984): 231-235.
Citation: Misgana Lulu Mokonnon and Ahmed Siraj. “Hematometra Secondary to Cervical Agenesis with Didelphys Uterus with No Communicating: A Case Report”. EC Gynaecology 10.12 (2021): 43-47.

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