A case of 17 year-old nulligravid who initially presented with a 3 year history of cyclic hypogastric pain with gradual abdominal enlargement. She was assessed with Imperforate Hymen and underwent hymenectomy and ultrasound-guided aspiration of blood clots per vagina. No vaginal canal was noted. Patient was subsequently lost to follow up.

Patient returned due to recurrence of hypogastric pain and enlargement of abdomen. Transrectal ultrasound revealed hematocolpos with hematometra. Assessment was Cervical and Vaginal Agenesis. Patient underwent exploratory laparotomy, total abdominal hysterectomy with bilateral salpingectomy.

According to American Fertility Society, there is no classification for a complex mullerian malformation such as mixed vaginal and cervical Agenesis. There is no reported case of mixed vaginal and cervical agenesis in the Philippines.

The best surgical management is still controversial. Conservative surgical method should be considered. A rare case of mixed vaginal and cervical agenesis is being presented where the management is a dilemma.

Human ; Female ; Adolescent ; Cervix Uteri-abnormalities ; Vagina-abnormalities

Congenital anomalies of the female reproductive tract may involve the uterus, cervix, fallopian tubes, or vagian. Depending on the specific defect, a women's obstetric and gynecologic health may be adversely affected. We have experienced a case of rudimentary uterine horn with noncommunicated uterus complicated by pelvic endometriosis in a 25 years old woman with primary amenorrhea and monthly periodic pelvic pain. We observed noncommunicating uterus with blind pouch, cervix disconnected to uterus with normal appearance, and left ovarian endometrial cyst. For treatment, the metroplastic surgery with end-to end anastomosis connecting cervix and noncommunicated uterus and removal of endometrial cyst were done. Many cases of uterine anomalies have been documented but, there have been few reported cases of noncommunicated uterus with disconnected cervix and successful performance of the metroplasty. Thus hereby we report this case with a review of literatures.
Amenorrhea ; Animals ; Cervix Uteri ; Endometriosis ; Fallopian Tubes ; Female ; Horns ; Humans ; Pelvic Pain ; Urogenital Abnormalities ; Uterus

Rheumatoid arthritis can lead to joint deformity and loss of functional capacity. The cervix may be involved, and this was first described by Garrod, in 1890. The most common abnormalities of the cervical spine found in rheumatoid arthritis patients are atlantoaxial and subaxial subluxation, and superior migration of the odontoid, the incidence of atlantoaxial subluxation is reported to be 19-17%. When signs and symptoms of spinal cord compression occur, operative stabilization is clearly indicated. Early operative fusion before evidence of appreciable neural compression occurs, is frequently recommended. Internal fixation typically involves a bone graft with Gallie-type, Brooks-type, or Dickman's interspinous fusion, or transarticular screw fixation. The purpose of this report is to describe the surgical procedures available for treatment of the rheumatoid cervical spine, the indications for surgical intervention, operative techniques, and the results in 11 patients.
Arthritis, Rheumatoid* ; Cervix Uteri ; Congenital Abnormalities ; Female ; Humans ; Incidence ; Joints ; Spinal Cord Compression ; Spine ; Transplants

The conventional treatment of cervical incompetence is cerclage operation. In most cases, the classical surgical cerclage methods described by McDonald and Shirodkar are performed. The cervicoisthmic cerclage is beneficial for the treatment of patients who have short cervix due to conization, cervisectomy or congenital anatomical deformity of uterus. This procedure is different from the classical McDonald and Shirodkar cerclages in that the suture site is placed at the junction of the cervix and the isthmus of uterine body. There are two approaches in cervicoisthmic cerclages, transabdominal and transvaginal ones. The transvaginal cervicoisthmic cerclage is easier to perform and less dependent on uterine size compared with the transabdominal cerclage. In addition there is less chance of direct uterine handling associated with bladder laceraton or fetal loss in transvaginal cervicoisthmic cerclage. We report two cases of transvaginal cervicoisthmic cerclage for the first time in Korea, in which patients have delivered at full term by cesarean section.
Cervix Uteri ; Cesarean Section ; Congenital Abnormalities ; Conization ; Female ; Handling (Psychology) ; Humans ; Korea ; Pregnancy ; Sutures ; Urinary Bladder ; Uterus