title: Horizontal uterine torsion in the setting of complete cervical and partial vaginal agenesis: a case report.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 13-year-old nulligravid adolescent female.
  
  
  METHODS
  Ultrasound-guided vaginal exploration, diagnostic laparoscopy, and hysterectomy.
  
  
  METHODS
  Uterine torsion as complication of cervical agenesis and its management.
  
  
  RESULTS
  Complete cervical agenesis, hematometra, and resultant 180-degree horizontal uterine torsion and sacral entrapment.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia, USA. komurta@emory.edu
authors.forename: Kenan
authors.initials: K
authors.lastname: Omurtag
authors.forename: Donna
authors.initials: D
authors.lastname: Session
authors.forename: Pavna
authors.initials: P
authors.lastname: Brahma
authors.forename: Angela
authors.initials: A
authors.lastname: Matlack
authors.forename: Carla
authors.initials: C
authors.lastname: Roberts
mesh_terms: D000293:Adolescent; D002584:Cervix Uteri / Q000002:abnormalities*; D005260:Female; D006801:Humans; D014102:Torsion Abnormality / Q000209:etiology*; D014591:Uterine Diseases / Q000209:etiology*; D014621:Vagina / Q000002:abnormalities*