Horizontal uterine torsion in the setting of complete cervical and partial vaginal agenesis: a case report.
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.
Omurtag
Kenan
K
Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia, USA. komurta@emory.edu
Session
Donna
D
Brahma
Pavna
P
Matlack
Angela
A
Roberts
Carla
C
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*