Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Health Teaching & Research Hospital, Ankara, Turkey.
Fertil Steril. 2010 Dec;94(7):2769.e9-11. doi: 10.1016/j.fertnstert.2010.04.033. Epub 2010 May 26.
To report a case of cervical dysgenesis presenting with hematometra.
Case report.
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.
报告 1 例因宫颈发育不良导致宫腔积血的病例。
病例报告。
教学和研究医院。
一名 12 岁女孩因原发性闭经就诊。腹腔镜检查发现，她的子宫呈球形增大，与外观正常的宫颈上段没有任何连接。
采用保守手术，将宫颈上段钝端与子宫下段进行端端吻合。
保留生育能力和/或维持周期性月经周期。
正常月经 3 个月后，患者再次因吻合口阻塞入院。宫腔积血引流后，宫腔镜和腹腔镜检查显示子宫、宫颈内口和宫颈外观正常。
对于宫颈横断性裂伤的患者，采用保留宫颈和子宫段的保守手术，行端端宫颈-子宫吻合术是一种可行且有效的选择。
