[Congenital cervical agenesis: pregnancy after transmyometrial embryo transfer].
Cervical agenesis is a rare congenital pathology linked to an anomaly of development of the Mullerian system. We described a case report about a 22-year old woman, consulting for infertility, who had a complete cervical agenesis. The first evaluation suggested a 46 XX karyotype and a normal ovarian reserve. The surgical examination confirmed the absence of cervix with impossibility of catheterization. She became pregnant thanks to an in vitro fertilization (IVF) with transmyometrial embryo transfer. Caesarean was decided at 36 weeks of gestation (WG) due to spontaneous uterine contractions. An injection of medroxyprogesterone was made after the placenta delivery in order to warning the partum hemorrhage. The ultrasound examination, realized 15 days after caesarean, underlined a good uterine involution. The surgery by cervico-vaginal anastomosis can be offered to patients because it offers chances of spontaneous pregnancies. But this surgery exposes women to a risk of failure, and of severe complications such as pain or infection, and might end in a hysterectomy. By choosing the transmyometrial transfer by vaginal way, the patient was exposed to the risk of spontaneous miscarriage. It was raising the problem of the uterine evacuation. This delivery after 34 WG is encouraging for the infertility by cervical agenesis.
Service de gynécologie et obstétrique, CHU Caremeau, place du Pr.-R.-Debré, 30029 Nîmes, France. Electronic address: stephanie.huberlant@yahoo.fr.
S
S
Huberlant
Service de gynécologie et obstétrique, CHU Caremeau, place du Pr.-R.-Debré, 30029 Nîmes, France. Electronic address: marie.laure.tailland@chu-nimes.fr.
M-L
ML
Tailland
Laboratoire d'assistance médicale à la procréation, CHU Caremeau, place du Pr.-R.-Debré, 30029 Nîmes, France. Electronic address: sophie.poirey@chu-nimes.fr.
S
S
Poirey
Service de gynécologie et obstétrique, CHU Caremeau, place du Pr.-R.-Debré, 30029 Nîmes, France. Electronic address: eve.mousty@chu-nimes.fr.
E
E
Mousty
Service de gynécologie et obstétrique, CHU Caremeau, place du Pr.-R.-Debré, 30029 Nîmes, France. Electronic address: sylvie.ripart@chu-nimes.fr.
S
S
Ripart-Neveu
Service de gynécologie et obstétrique, CHU Caremeau, place du Pr.-R.-Debré, 30029 Nîmes, France. Electronic address: pierre.mares@chu-nimes.fr.
P
P
Mares
Service de gynécologie et obstétrique, CHU Caremeau, place du Pr.-R.-Debré, 30029 Nîmes, France. Electronic address: renaud.detayrac@chu-nimes.fr.
R
R
de Tayrac
D002584:Cervix Uteri / Q000002:abnormalities*; D004624:Embryo Transfer / Q000379:methods; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009215:Myometrium; D011247:Pregnancy; D011256:Pregnancy Outcome; D055815:Young Adult
Agénésie cervicale congénitale complète; Cervix/congenital cervical atresia; Embryo transfer; Fécondation in vitro; Grossesse; In vitro fertilization; Pregnancy; Transfert embryon