Uterine Isthmus Atresia (UIA) is an unusual complete separation of uterine body from cervix, often excessively treated (hysterectomy). This report aims to describe a uterine-sparing technique for UIA treatment. This is the case of a 14-year-old girl referred for primary amenorrhea and cyclic pelvic pain. Imaging study was suggestive for UIA, hematometra and bilateral hematosalpinx. The patient was submitted to a combined laparoscopic-transvaginal end-to-end utero-cervical anastomosis. A stable anastomosis was obtained. At 3-month follow up the patient referred regular painless menses. Ultrasound identified the new connection between the cervix and the uterine body. Hysteroscopy revealed a short but regular cervical canal, widely permeable and regularly connected with the uterine cavity. For UIA treatment, when the cervical segment is intact, an end-to-end utero-cervical anastomosis is feasible and effective.

Uterine Isthmus Atresia Conservatively Treated by Laparoscopy and Transvaginal Utero-Cervical Anastomosis / Candiani, M; Fedele, F; Dolci, C; Grecchi, G; Petrone, M; Ruffolo, Af. - In: WORLD JOURNAL OF SURGERY AND SURGICAL RESEARCH. - ISSN 2637-4625. - 1422:(2022).

Uterine Isthmus Atresia Conservatively Treated by Laparoscopy and Transvaginal Utero-Cervical Anastomosis

Candiani M
Primo
;
Fedele F
Secondo
;
Dolci C;Grecchi G;Ruffolo AF
Ultimo
2022-01-01

Abstract

Uterine Isthmus Atresia (UIA) is an unusual complete separation of uterine body from cervix, often excessively treated (hysterectomy). This report aims to describe a uterine-sparing technique for UIA treatment. This is the case of a 14-year-old girl referred for primary amenorrhea and cyclic pelvic pain. Imaging study was suggestive for UIA, hematometra and bilateral hematosalpinx. The patient was submitted to a combined laparoscopic-transvaginal end-to-end utero-cervical anastomosis. A stable anastomosis was obtained. At 3-month follow up the patient referred regular painless menses. Ultrasound identified the new connection between the cervix and the uterine body. Hysteroscopy revealed a short but regular cervical canal, widely permeable and regularly connected with the uterine cavity. For UIA treatment, when the cervical segment is intact, an end-to-end utero-cervical anastomosis is feasible and effective.
2022
Uterine isthmus atresia; Mullerian anomalies; genital anomalies; utero-cervical anastomosis; Laparoscopy
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/158337
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