Repair of congenital 'disconnected uterus': a new female genital anomaly?
Congenital uterine anomaly is a female genital disorder caused by developmental anomaly of the Müllerian ducts. In this report, we present a case of repair of congenital 'disconnected uterus' between the cervix and the body of the uterus. The case did not correspond to the consensus classifications that have been proposed for congenital uterine anomaly. The patient was a young woman whose chief complaints were not having first menstruation and experiencing monthly severe lower abdominal pain. Magnetic resonance imaging showed that the uterine body was separated from the uterine cervix. Uteroplasty was conducted to anastomose the separated uterus. Periodic menstruation started 1 month after surgery and abdominal pain was improved. Performance of uteroplasty in this case was extremely significant and greatly improved the quality of life of the patient.
Department of Obstetrics and Gynecology, School of Medicine, Keio University, Tokyo, Japan.
Iori
I
Kisu
Department of Obstetrics and Gynecology, School of Medicine, Keio University, Tokyo, Japan kkyokokeio@a5.keio.jp kkyokokeio@yahoo.co.jp.
Kyoko
K
Tanaka
Department of Obstetrics and Gynecology, School of Medicine, Keio University, Tokyo, Japan.
Kouji
K
Banno
Department of Diagnostic Radiology, School of Medicine, Keio University, Tokyo, Japan.
Shigeo
S
Okuda
Department of Obstetrics and Gynecology, School of Medicine, Keio University, Tokyo, Japan.
Daisuke
D
Aoki
D000293:Adolescent; D002584:Cervix Uteri / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D005260:Female; D005831:Genital Diseases, Female / Q000473:pathology* / Q000601:surgery; D006801:Humans; D014599:Uterus / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery
Müllerian ducts; congenital uterine anomaly; female genital anomaly; trachelectomy; uterine factor infertility