Abstract

To report a case in which uterine torsion in a nulligravid female adolescent was noted upon surgical management of complete cervical and partial vaginal agenesis. Case report. University hospital. A 13-year-old nulligravid adolescent female. Ultrasound-guided vaginal exploration, diagnostic laparoscopy, and hysterectomy. Uterine torsion as complication of cervical agenesis and its management. Complete cervical agenesis, hematometra, and resultant 180-degree horizontal uterine torsion and sacral entrapment. Cervical agenesis can be a risk factor for uterine torsion. Hysterectomy is a common treatment due to resultant hematometra, pelvic pain, and severe endometriosis, although rare case reports show success with uterovaginal recanalization in cases with cervical dysgenesis.

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