Laparoscopically assisted utero-vaginal anastomosis in a patient with uterine cervix atresia and vaginal aplasia: A case report

Abstract

Uterine cervix atresia and vaginal aplasia in a patient with functional endometrium is a rare mullerian anomaly; however, definitive surgical treatment for this condition remains unknown. A 20-year-old woman with a several-month history of recurrent lumbago was referred to our hospital with vaginal closing. Magnetic resonance imaging revealed hematometra, and we suspected cervical atresia and vaginal aplasia. We made an incision from the vaginal aspect to create a tunnel between the bladder and the rectum by blunt dissection. Exploratory laparoscopy revealed a normal-appearing uterine corpus. We approached the endometrial cavity through a series of transverse sections on the inferior aspect of the uterine body. The edges of the uterine cavity were anastomosed to the edges of the neovagina. At her 6-month follow-up, she reported that her menses were regular, and lumbago and severe dysmenorrhea had resolved.