Horizontal uterine torsion in the setting of complete cervical and partial vaginal agenesis: a case report.

OBJECTIVE

To report a case in which uterine torsion in a nulligravid female adolescent was noted upon surgical management of complete cervical and partial vaginal agenesis.

DESIGN

Case report.

SETTING

University hospital.

PATIENT(S): A 13-year-old nulligravid adolescent female.

INTERVENTION(S): Ultrasound-guided vaginal exploration, diagnostic laparoscopy, and hysterectomy.

MAIN OUTCOME MEASURE(S): Uterine torsion as complication of cervical agenesis and its management.

RESULT(S): Complete cervical agenesis, hematometra, and resultant 180-degree horizontal uterine torsion and sacral entrapment.

CONCLUSION(S): Cervical agenesis can be a risk factor for uterine torsion. Hysterectomy is a common treatment due to resultant hematometra, pelvic pain, and severe endometriosis, although rare case reports show success with uterovaginal recanalization in cases with cervical dysgenesis.