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Case Reports
. 2009 May;91(5):1957.e13-5.
doi: 10.1016/j.fertnstert.2009.01.058. Epub 2009 Feb 24.

Horizontal uterine torsion in the setting of complete cervical and partial vaginal agenesis: a case report

Kenan Omurtag  1 , Donna Session, Pavna Brahma, Angela Matlack, Carla Roberts
Affiliations
Free article
Case Reports

Horizontal uterine torsion in the setting of complete cervical and partial vaginal agenesis: a case report

Kenan Omurtag et al. Fertil Steril. 2009 May.
Free article

Abstract

Objective: To report a case in which uterine torsion in a nulligravid female adolescent was noted upon surgical management of complete cervical and partial vaginal agenesis.

Design: Case report.

Setting: University hospital.

Patient(s): A 13-year-old nulligravid adolescent female.

Intervention(s): Ultrasound-guided vaginal exploration, diagnostic laparoscopy, and hysterectomy.

Main outcome measure(s): Uterine torsion as complication of cervical agenesis and its management.

Result(s): Complete cervical agenesis, hematometra, and resultant 180-degree horizontal uterine torsion and sacral entrapment.

Conclusion(s): Cervical agenesis can be a risk factor for uterine torsion. Hysterectomy is a common treatment due to resultant hematometra, pelvic pain, and severe endometriosis, although rare case reports show success with uterovaginal recanalization in cases with cervical dysgenesis.

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