Abstract
To present a case of cervical uterine dysgenesis and a symptomatic uterine myomata operated with laparoscopy. A laparoscopic procedure that closely resembles a laparotomy approach. The Mount Sinai Hospital of Queens. A 48 year old woman with primary amenorrhea and pelvic pain. During vaginal examination no cervix was found, a round mass was seen and palpated at the vault. Sonographic study showed a uterus with fluid in the endometrial cavity and a low segment myoma. A tenaculum was placed at the uterine fundus via a suprapubic port. A sponge and stick was placed vaginally into the posterior formix. A laparoscopy posterior entrance to a circular colpotomy was done. The uterus was vaginally extracted. The case was successfully done via laparoscopy. Laparoscopic hysterectomy in cervical dysgenesis is different than when the cervix is present. No uterine manipulator could be used in such cases. This procedure could be done, observing similar steps as when laparotomy is performed.
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