Journal of Human Reproductive Science
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CASE REPORT Table of Contents   
Year : 2016  |  Volume : 9  |  Issue : 4  |  Page : 267-270
Uterine conserving surgery in a case of cervicovaginal agenesis with unicornuate uterus


1 Department of Obstetrics and Gynecology, Institute of Kidney Diseases and Research Centre, Institute of Transplantation Sciences, B. J. Medical College, Bikaner, Rajasthan, India
2 Department of Obstetrics and Gynecology, S. P. Medical College, Bikaner, Rajasthan, India
3 Department of Obstetrics and Gynecology, Institute of Transplantation Sciences, Ahmedabad, Gujarat, India
4 Clinical Fellow, Institute of Kidney Diseases and Research Centre, Institute of Transplantation Sciences, Ahmedabad, Gujarat, India

Correspondence Address:
Vineet Mishra
Department of Obstetrics and Gynaecology, Institute of Kidney Diseases and Research Centre, Institute of Transplantation Sciences, B. J. Medical College, Room No: 31, Civil Hospital Campus, Ahmedabad - 380 016, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1208.197696

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The presence of cervicovaginal agenesis with unicornuate uterus is a very rare mullerian anomaly. Its true incidence is still unknown. The presence of functioning unicornuate uterus poses a great challenge for a gynecologist because a successful repair could restore normal menses and may preserve a patient's fertility. Hence, we report a case of 16-year-old unmarried female who presented with chief complaints of primary amenorrhea with cyclical lower abdominal pain. On clinical and radiological evaluation, she was diagnosed with complete cervicovaginal agenesis with right unicornuate uterus (hematometra and hematosalpinx). She underwent vaginoplasty (McIndoes method) along with uterovaginal anastomosis by neocervix formation, in order to preserve her uterus. On follow-up, her vagina was completely healed, and she was menstruating normally.


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