Uterine Isthmic Atresia: Hope for a rare mullerian anomaly

Author: Mary Liezl N. Yu ¹ ; Enrico Gil C. Oblepias ¹ ; Madonna Victoria C. Domingo ¹
Author Information

1. Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines Manila
Publication Type:Journal Article
Keywords: Atresia; End-to-end anastomosis; Mullerian anomaly; Uterine isthmus
MeSH: Amenorrhea
From: Philippine Journal of Reproductive Endocrinology and Infertility 2017;14(2):31-39
CountryPhilippines
Language:English
Abstract: The true incidence and prevalence of congenital Mullerian duct anomalies are difficult to determine. Some patients may present as adolescents with apparent primary amenorrhea, cyclical abdominal pain and sexual difficulties. It is important to ascertain a correct diagnosis for timely and appropriate interventions necessary to prevent sequelae that often affect the future fertility of these patients. This is a case of a fifteen year old with severe cyclical pelvic pain and hematuria with amenorrhea. Work up included a transrectal ultrasound and a magnetic resonance imaging of the pelvis revealing presence of a uterine corpus and cervix but absence of uterine isthmus. A conservative surgical approach was planned. The patient underwent end-to-end anastomosis of the cervix and uterine corpus. At present, the patient is regularly menstruating with no pelvic pain.
Full text:PJREI 8.pdf