Furthermore, it revealed that the cervix was mobile while the uterine corpus was relatively fixed. In our hospital, the physical examination suggested that the normal secondary sexual characteristics were well present, with normal the vulva and vagina etc. When consulting in another hospital in Shanghai in July 2021, her pelvic magnetic resonance imaging (MRI) suggested a complete disjunction between the cervix and the uterine corpus combined with the bilateral adnexal cysts (Fig. She reported a history of a pelvic trauma during a vehicle accident at age of 4, which was handled nonsurgically. She had normal breast development at age of 13 and never had cyclical menstrual symptom. Her main complaint was that since the age 17 she has had the cyclic lower abdominal pain for 2–3 days once a month. Laparoscopic cervico-isthmic anastomosis could reconstruct the uterine outflow tract successfully, alleviate symptoms, and achieve a good short-term outcome.Ī 23-year-old nulligravida with a history of primary amenorrhea was referred to our hospital for surgical treatment. After this surgery, normal menstruation was resumed without cyclic abdominal pain. Laparoscopic cervico-isthmic anastomosis was performed to restore the continuity of the endometrial cavity and cervical canal. A complete disjunction between the cervix and the uterine corpus was diagnosed. 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. We report here a 23-year-old young woman with the primary amenorrhea due to traumatic cervico-isthmic disjunction. Scanty cases of anastomosis surgery via laparoscope have been reported. In most cases, it is not immediately noticed until the onset of other symptoms, such as amenorrhea, periodic abdominal pain and so on. Old traumatic disjunction between the cervix and the uterine corpus is very rare case.
0 Comments
Leave a Reply. |