Cervical fragmentation: a successful end-to-end anastomosis.

OBJECTIVE

To report a case of cervical dysgenesis presenting with hematometra.

DESIGN

Case report.

SETTING

Teaching and research hospital.

PATIENT(S): 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.

INTERVENTION(S): Conservative surgery with end-to-end anastomosis of the upper blunt end of the cervix to the lower part of the uterus was performed.

MAIN OUTCOME MEASURE(S): Preserve fertility and/or maintain cyclic menstrual cycles.

RESULT(S): 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.

CONCLUSION(S): 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.