Successful management of cervical dysgenesis: Case report and review. (April 2023)

• Record Type: Journal Article
• Authors: Malhotra, Vani; Nanda, Smiti; Chauhan, Meenakshi; Bhardwaj, Ritu; Chauhan, Aastha
• Is Part Of: Tropical doctor. Volume 53:Number 2(2023)
• Page Start: 271
• Page End: 275
• Publication Date: 2023-04
• Subjects: Adenomyoma -- rudimentary horn -- excision -- endotracheal tube; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/00494755221149228
• Languages: English
• ISSNs: 0049-4755

Abstract

Cervical agenesis or dysgenesis is a rare Mullerian anomaly that is usually associated with vaginal aplasia. A literature review revealed reports of 83 cases including ours, of which 57 (68.6%) presented with obstruction of the external OS, 11 (13.2%) had the cervix replaced by a fibrous cord and 5 (6.02%) had a fragmented cervix. A total of 24 (28.9%) were managed by core and drilling technique (CDT), 16(19.2%) patients underwent uterovaginal anastomosis (UVA), 7(8.4%) underwent total abdominal hysterectomy preserving the ovaries and 5 (6.02%) were managed by cervical reconstruction. Unfortunately, 31 failed to return after their clinical and radiological diagnosis was confirmed. Early diagnosis and treatment are necessary to avoid long-term complications.