Department of Gynecology, The International Peace Maternal and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, 910 Hengshan Road, Xuhui District, Shanghai, 200030, China.
BMC Womens Health. 2023 Mar 15;23(1):109. doi: 10.1186/s12905-023-02263-w.
Old traumatic disjunction between the cervix and the uterine corpus is very rare case. In most cases, it is not immediately noticed until the onset of other symptoms, such as amenorrhea, periodic abdominal pain and so on. Scanty cases of anastomosis surgery via laparoscope have been reported.
We report here a 23-year-old young woman with the primary amenorrhea due to traumatic cervico-isthmic disjunction. The patient had a closed pelvic fracture at the age of 4 and has experienced periodic lower abdominal pain since the age of 17 years. A complete disjunction between the cervix and the uterine corpus was diagnosed. Laparoscopic cervico-isthmic anastomosis was performed to restore the continuity of the endometrial cavity and cervical canal. After this surgery, normal menstruation was resumed without cyclic abdominal pain.
Laparoscopic cervico-isthmic anastomosis could reconstruct the uterine outflow tract successfully, alleviate symptoms, and achieve a good short-term outcome.
陈旧性宫颈和子宫体完全性撕裂非常罕见。大多数情况下，患者直到出现其他症状，如闭经、周期性腹痛等才被发现。目前仅有少量经腹腔镜吻合术的报道。
我们报道了一例 23 岁因创伤性宫颈-峡部完全性撕裂导致原发性闭经的年轻患者。该患者在 4 岁时发生骨盆闭合性骨折，自 17 岁起出现周期性下腹痛。诊断为宫颈和子宫体完全性撕裂。行腹腔镜下宫颈-峡部吻合术，重建子宫内膜腔和宫颈管的连续性。手术后，患者恢复正常月经，且无周期性腹痛。
腹腔镜下宫颈-峡部吻合术可以成功重建子宫流出道，缓解症状，获得良好的短期效果。
