Abstract
<p style="margin-bottom: 0in;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;">Cervical agenesis is an extremely rare congenital Mullerian duct anomaly of female genital tract. It is a complex surgical problem and management is still controversial. Failure to manage these patients correctly may be associated with long-term psychological, sexual, reproductive health damage and suffering. We have managed two cases of cervical agenesis with cryptomenorrhea.<br /></span></span><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><br /></span></span>DOI: <a href="http://dx.doi.org/10.4038/sljog.v36i1.6969">http://dx.doi.org/10.4038/sljog.v36i1.6969</a> <p style="margin-bottom: 0in;"><em>Sri Lanka Journal of Obstetrics and Gynaecology </em>2014; 36: 17-18
Highlights
True incidence of cervical agenesis is unknown but review of literature list less than 200 cases since 1942 (1).According to American Fertility Society Cervical agenesis is classified as type IB mullerian anomaly(2)
Patients have normal secondary sexual development and presentations are like primary amenorrhea, cyclical lower abdominal pain, mass per abdomen and history of recurrent surgeries
As patient belonged to a poor socioeconomic group and wanted a permanent cure from the problem, exploratory laparotomy followed by total abdominal hysterectomy with left side salpingo-oophorectomy, excision of right ovarian cyst and left sided ureteric stenting was done
Summary
True incidence of cervical agenesis is unknown but review of literature list less than 200 cases since 1942 (1).According to American Fertility Society Cervical agenesis is classified as type IB mullerian anomaly(2). Patients have normal secondary sexual development and presentations are like primary amenorrhea, cyclical lower abdominal pain, mass per abdomen and history of recurrent surgeries. With history of severe abdominal pain for last twenty days, secondary amenorrhea for three yrs and cyclical pain abdomen for the last six months She underwent exploratory laparotomy, uterovaginal anastomosis with vaginoplasty in some other hospital at the age of thirteen yrs for cryptomenorrhea and had regular menstruation for six months following surgery. Uterovaginal anastomosis with vaginoplasty in some other hospital at the age of thirteen yrs for cryptomenorrhea and had regular menstruation for six months following surgery Her secondary sexual characters were well developed. Ultrasonography showed a bicornuate uterus with hematometra and left sided hematosalpinx.When examined under anesthesia, a blind ending vagina of 3cm length and cervical agenesis was detected.
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