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Case Studies | Obstetrics and Gynecology | Indonesia | Volume 10 Issue 11, November 2021

Reconstruction of the Congenital Disorders of the Female Genitalia: Discontinuitas Uterus Cervik

Dr. Maike Irwan | Dr. I Wayan Megadhana

Abstract: Congenital abnormalities of the uterus and cervix are abnormalities of female genitalia that are usually caused by an anomaly in the development of the Mullerian ducts. We report an operative management for congenital abnormalities of the uterus that is disconnected between the cervix and the uterine body. This disorder does not conform to the consensus classification approved for congenital uterine anomalies by ESHRE / ESGE in 2013 and there have been no previous reports of similar cases. The patient in this case was a 14 year old woman with the chief complaint of having never had a first menstrual period but was suffering from severe monthly lower abdominal pain. On investigation shows that the uterine body appears separate from the cervix and there is a cyst that is suspected to be an endometrioma. Uteroplasty is performed to create anastomosis and canalization between the uterus and cervix using a nelathon catheter that is placed for 3 months. The patient had menstruation about 1 month after surgery and there was no pain. Operative management in this case significantly improved the patient's quality of life.

Keywords: Congenital Anomaly Uterus; Ductus Mullerian; Uteroplasty

Edition: Volume 10 Issue 11, November 2021,

Pages: 710 - 714