Cervical Dysgenesis: A Rare Mullerian Duct Anomaly.

Subha R Samantaray,Ipsita Mohapatra

doi:10.7759/cureus.18279

Abstract

Cervical agenesis or dysgenesis is a rare congenital anomaly. The patients usually present with primary amenorrhoea, primary infertility, and cyclical abdominal pain or with a history of prior surgeries like hymenectomy, vaginoplasty, or adhesiolysis for endometriosis along with well developed secondary sexual characters. We present a case of 15 years old girl with cervical dysgenesis and proximal vaginal agenesis, who presented with severe cyclical abdominal pain. She was managed with cervicovaginal canalization by coring and drilling technique done by vaginal approach with simultaneous laparoscopic guidance. Being a rare type of developmental anomaly of the female genital tract, no standard treatment for type-2 cervical dysgenesis has been established. The patient was followed up for 18 months during which she reported to be having regular menstruation.

Highlights

Cervical agenesis or dysgenesis is a rare congenital anomaly with an incidence of about one in 80,000100,000 live births [1]
The patients usually present with primary amenorrhoea, primary infertility, and cyclical abdominal pain or with a history of prior surgeries like hymenectomy, vaginoplasty, or adhesiolysis for endometriosis along with well developed secondary sexual characters [2,3]
We present a case of 15 years old girl with cervical dysgenesis and proximal vaginal agenesis, who presented to our institute with severe abdominal pain

Summary

Introduction

Cervical agenesis or dysgenesis is a rare congenital anomaly with an incidence of about one in 80,000100,000 live births [1]. We present a case of 15 years old girl with cervical dysgenesis and proximal vaginal agenesis, who presented to our institute with severe abdominal pain. The bridging tissue between the cervix and blind vagina was delineated and dissected partly by finger dissection through the vaginal route and partly by a Maryland grasper from above (Figure 2D), to create a neovagina. A self-fabricated vaginal mold was made over a 5 mL syringe with 14 French Foley catheter at the center and wrapped with sterile gauge pieces and a condom (Figure 3D) This mold was covered with a two-layer amnion graft harvested and prepared from another seronegative patient, who had been delivered by elective cesarean section at the same time. Till 18 months of follow-up, the patient reported to be having normal menstruation and on examination, the patency of the newly created track was well maintained

Discussion

Conclusions

Disclosures

Committee on Adolescent Health Care