AI Article Synopsis
- Congenital cervical fragmentation is a rare reproductive tract issue presenting in young women with symptoms like primary amenorrhea and monthly abdominal pain.
- In a reported case, a 15-year-old girl underwent unnecessary appendectomy before properly being diagnosed with cervical fragmentation through combined imaging methods, followed by successful surgical intervention.
- The study emphasizes the importance of diagnosing these rare conditions early to maintain fertility, suggesting that end-to-end anastomosis is an effective treatment option.
Article Abstract
Background: Congenital cervical fragmentation is a very rare genital tract malformation that usually presents in adolescence with primary amenorrhea and cyclic, monthly, lower abdominal pain. We report a nearly normal case of congenital cervical fragmentation and successful end-to-end anastomosis.
Case: A 15-year-old girl presented with primary amenorrhea with cyclic, monthly lower abdominal pain lasting for 15 months without any abnormal imaging findings (pelvic CT scan, ultrasonography, and hysteroscopy). Misdiagnosis and appendectomy was performed at the time of the initial lower abdominal pain. Diagnostic combined hysteroscopy and laparoscopy were performed in our hospital, and cervical fragmentation was diagnosed. A converted laparotomy end-to-end anastomosis was performed successfully, and regular menstruation was restored after the operation.
Summary And Conclusion: The malformation of nearly normal congenital cervical fragmentation is existent and hard to diagnose. As long as the patient has persistent primary amenorrhea with cyclic, monthly lower abdominal pain, even if no abnormal findings on imaging, obstructive malformation of the reproductive duct should be the primary suspicion. Diagnosis and treatment should occur as early as possible to preserve the patient's fertility. End-to-end anastomosis is the best method for this type of patient.
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| http://dx.doi.org/10.1016/j.jpag.2014.08.003 | DOI Listing |
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