Vignolle J, Lefebvre C, Lucot J P, Rubod C
Service de gynécologie chirurgicale, pôle Femme-Mère-Nouveau-né, hôpital Jeanne-de-Flandre, CHRU Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.
Service de procréation médicalement assistée, pôle Femme-Mère-Nouveau-né, hôpital Jeanne-de-Flandre, CHRU Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.
J Gynecol Obstet Hum Reprod. 2018 Jun;47(6):257-260. doi: 10.1016/j.jogoh.2018.03.007. Epub 2018 Mar 21.
This article reports a case of cervico-isthmic disjunction unnoticed during childhood, diagnosed in a context of primary infertility and endometriosis, and surgically treated. It is an uncommon condition. The diagnosis is most often made as part of an assessment of primary amenorrhea in a young woman with a history of severe pelvic trauma. It is suspected after imaging assessment and confirmed intraoperatively. The treatment consists in an anastomosis between the cervix and the uterine body, after individualizing these two structures, around a drain guiding healing. After this surgery, multiple pregnancies have been successfully carried out.
本文报道了一例儿童期未被发现的宫颈峡部脱节病例，该病例在原发性不孕和子宫内膜异位症的背景下被诊断出来，并接受了手术治疗。这是一种罕见的病症。诊断通常是在对有严重盆腔创伤史的年轻女性进行原发性闭经评估时做出的。经影像学评估后怀疑此病，并在手术中得到证实。治疗方法是在个体化宫颈和子宫体这两个结构后，围绕引流管进行吻合以引导愈合。该手术后，已成功实现多次妊娠。
