Laparoscopy-assisted uterovaginal anastomosis in a patient with atypical cervicovaginal malformation: a case report

TL;DR

A 14-year-old patient with a rare cervix and vagina malformation successfully underwent a laparoscopy-assisted surgery to restore normal menstrual function.

Contribution

This case report introduces laparoscopy-assisted uterovaginal anastomosis as a novel treatment for atypical cervicovaginal malformations.

Findings

The patient had normal menstruation after one month of follow-up.

Hysteroscopy confirmed a healthy uterine cavity and cervical canal post-surgery.

Abstract

Cervicovaginal anomalies are rare and form 4–7% of the Müllerian anomalies. Traditionally, cervicovaginal agenesis/dysgenesis had been treated by hysterectomy due to the high risks of restenosis and sepsis which are associated with cervical canalization. In this work, we report the case of a 14-year-old patient who presented with amenorrhea and cyclic abdominal pain. The patient had normal secondary sexual development. Magnetic resonance imaging revealed hematometra and bilateral hematosalpinx. Laparoscopic exploration identified an obstructed cervix and blunt vagina. The patient underwent direct cervicovaginal anastomosis under laparoscopic guidance. After 1 month of follow-up, the patient had normal menstruation and a healthy uterine cavity and cervical canal upon hysteroscopy.

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