CASE REPORT article
Front. Med.
Sec. Obstetrics and Gynecology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1604463
Laparoscopy-Assisted Uterovaginal Anastomosis in a Patient with Atypical Cervicovaginal Malformation
Provisionally accepted
- 1University of Bremen, Bremen, Germany
- 2Lebanese American University, Beirut, Beirut, Lebanon
- 3Faculty of Human Medicine, Tishreen University, Lattakia, Latakia, Syria
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Cervicovaginal anomalies are rare and form 4-7% of the Müllerian anomalies. Traditionally, cervicovaginal agenesis/dysgenesis had been treated by hysterectomy due to the high risks of restenosis and sepsis which are associated with cervical canalization. In this work, we report the case of a 14-year-old patient who presented with amenorrhea and cyclic abdominal pain. The patient had normal secondary sexual development. Magnetic resonance imaging revealed hematometra and bilateral hematosalpinx. Laparoscopic exploration identified an obstructed cervix and blunt vagina.The patient underwent direct cervicovaginal anastomosis under laparoscopic guidance. After one month of follow-up, the patient had normal menstruation and a healthy uterine cavity and cervical canal upon hysteroscopy.
Keywords: Anastomosis, cervicovaginal agenesis, Fertility Preservation, Laparoscopy, Müllerian anomalies, reconstructive surgery, Uterine-sparing
Received: 01 Apr 2025; Accepted: 27 Jun 2025.
Copyright: © 2025 Naem, Moufawad, Sultan and Sleiman. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Antoine Naem, University of Bremen, Bremen, Germany
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