Fertility and sterility · 2010
Cervical fragmentation: a successful end-to-end anastomosis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Dilbaz Serdar, Dede F Suat, Kiseli Mine, Dilbaz Berna
Аннотация
OBJECTIVE: To report a case of cervical dysgenesis presenting with hematometra.
DESIGN: Case report.
SETTING: Teaching and research hospital.
PATIENT(S): A 12-year-old girl presented with primary amenorrhea. At laparoscopic examination she was found to have a ball-shaped enlarged uterus without any type of connection to the upper normal-appearing cervix.
INTERVENTION(S): Conservative surgery with end-to-end anastomosis of the upper blunt end of the cervix to the lower part of the uterus was performed.
MAIN OUTCOME MEASURE(S): Preserve fertility and/or maintain cyclic menstrual cycles.
RESULT(S): After having normal menses for 3 months, the patient was admitted again with occlusion at the anastomosis site. Hematometra was drained and hysteroscopic and laparoscopic observations proved a normal-appearing uterus, endocervical canal, and cervix.
CONCLUSION(S): Conservative surgical treatment with intact cervical and uterine segments, with an end-to-end cervicouterine anastomosis is a feasible and effective option in patients with cervical transverse fragmentation.
DESIGN: Case report.
SETTING: Teaching and research hospital.
PATIENT(S): A 12-year-old girl presented with primary amenorrhea. At laparoscopic examination she was found to have a ball-shaped enlarged uterus without any type of connection to the upper normal-appearing cervix.
INTERVENTION(S): Conservative surgery with end-to-end anastomosis of the upper blunt end of the cervix to the lower part of the uterus was performed.
MAIN OUTCOME MEASURE(S): Preserve fertility and/or maintain cyclic menstrual cycles.
RESULT(S): After having normal menses for 3 months, the patient was admitted again with occlusion at the anastomosis site. Hematometra was drained and hysteroscopic and laparoscopic observations proved a normal-appearing uterus, endocervical canal, and cervix.
CONCLUSION(S): Conservative surgical treatment with intact cervical and uterine segments, with an end-to-end cervicouterine anastomosis is a feasible and effective option in patients with cervical transverse fragmentation.