Cervical fragmentation: a successful end-to-end anastomosis.
OBJECTIVE
To report a case of cervical dysgenesis presenting with hematometra.


METHODS
Case report.


METHODS
Teaching and research hospital.


METHODS
A 12-year-old girl presented with primary amenorrhea. At laparoscopic examination she was found to have a ball-shaped enlarged uterus without any type of connection to the upper normal-appearing cervix.


METHODS
Conservative surgery with end-to-end anastomosis of the upper blunt end of the cervix to the lower part of the uterus was performed.


METHODS
Preserve fertility and/or maintain cyclic menstrual cycles.


RESULTS
After having normal menses for 3 months, the patient was admitted again with occlusion at the anastomosis site. Hematometra was drained and hysteroscopic and laparoscopic observations proved a normal-appearing uterus, endocervical canal, and cervix.


CONCLUSIONS
Conservative surgical treatment with intact cervical and uterine segments, with an end-to-end cervicouterine anastomosis is a feasible and effective option in patients with cervical transverse fragmentation.
Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Health Teaching & Research Hospital, Ankara, Turkey.
Serdar
S
Dilbaz
F Suat
FS
Dede
Mine
M
Kiseli
Berna
B
Dilbaz
D000568:Amenorrhea / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000714:Anastomosis, Surgical / Q000379:methods*; D002584:Cervix Uteri / Q000002:abnormalities* / Q000601:surgery*; D002648:Child; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006409:Hematometra / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007247:Infertility, Female / Q000517:prevention & control