Journal of Pediatric and Adolescent Gynecology
Volume 23, Issue 5 , Pages e137-e140, October 2010

Unilateral Non-communicating Cervical Atresia in a Patient with Uterus Didelphys and Unilateral Renal Agenesis

Department of Obstetrics and Gynecology, SUNY Upstate Medical University Hospital and Crouse Hospital, Syracuse, New York, USA

Abstract 

A 16-year-old adolescent girl presented with chronic pelvic pain. Pelvic ultrasound and MRI showing a uterus didelphys, normal left uterus and cervix, right pelvic fluid collection and right unilateral renal agenesis. After two unsuccessful vaginal surgeries for drainage of hematotrachelos and creation of an outflow tract, patient underwent unilateral total abdominal hysterectomy with final pathology confirming hematotrachelos and non-communicating cervical atresia on the right. Patient on postoperative follow-up doing well.

Key Words: Cervical hypoplasia, Cervical aplasia, Cervical atresia, Müllerian agenesis

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PII: S1083-3188(10)00008-2

doi:10.1016/j.jpag.2010.01.006

Journal of Pediatric and Adolescent Gynecology
Volume 23, Issue 5 , Pages e137-e140, October 2010