Naem Antoine, Moufawad Graziella, Sultan Suzana, Sleiman Zaki
Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany.
Lebanese American University Medical Center -Rizk Hospital, Beirut, Lebanon.
Front Med (Lausanne). 2025 Jul 9;12:1604463. doi: 10.3389/fmed.2025.1604463. eCollection 2025.
Cervicovaginal anomalies are rare and form 4-7% of the Müllerian anomalies. Traditionally, cervicovaginal agenesis/dysgenesis had been treated by hysterectomy due to the high risks of restenosis and sepsis which are associated with cervical canalization. In this work, we report the case of a 14-year-old patient who presented with amenorrhea and cyclic abdominal pain. The patient had normal secondary sexual development. Magnetic resonance imaging revealed hematometra and bilateral hematosalpinx. Laparoscopic exploration identified an obstructed cervix and blunt vagina. The patient underwent direct cervicovaginal anastomosis under laparoscopic guidance. After 1 month of follow-up, the patient had normal menstruation and a healthy uterine cavity and cervical canal upon hysteroscopy.
宫颈阴道畸形较为罕见，占苗勒管畸形的4 - 7%。传统上，由于宫颈管形成术存在再狭窄和败血症的高风险，宫颈阴道发育不全/发育异常一直通过子宫切除术进行治疗。在本研究中，我们报告了一名14岁出现闭经和周期性腹痛的患者病例。该患者第二性征发育正常。磁共振成像显示子宫积血和双侧输卵管积血。腹腔镜探查发现宫颈梗阻和阴道钝性狭窄。患者在腹腔镜引导下接受了直接宫颈阴道吻合术。随访1个月后，患者月经正常，宫腔镜检查显示子宫腔和宫颈管健康。
