Ectopic Ureter Causing Hydrometra in a Case of Cervical Dysgenesis with Vaginal AgenesisCorrespondence Address :
Dr. Vineet V Mishra,
Professor and Head, Department of Obstetrics and Gynaecology, IKDRC-ITS, Asarwa, Ahmedabad-380016, Gujarat, India.
Cervical agenesis or dysgenesis is the defect of vertical fusion of the mullerian duct and the urogenital sinus. The reported incidence is 0.01% in general population. Up to 53% of patients with mullerian agenesis have concomitant congenital malformations and hence these patients should be thoroughly evaluated for the same. We report a case of cervical dysgenesis with ectopically located right ureter in the uterus. This patient had cervical obstruction with absent vagina. Conservative surgical approach was adopted. Cervical reconstruction with cervicovaginal anastomosis with the neovagina was done. The ectopically located ureter was cut and reimplanted into the bladder. Hence in patients with cervical agenesis or dysgenesis radicle approach like hysterectomy should be adopted only in case of failure of conservative surgery. Thus giving the patient a chance for healthy reproductive life and prevent premature ovarian failure.
Cervicovaginal anastomosis, Neocervix, Neovagina
Date of Submission: Sep 14, 2017
Date of Peer Review: Nov 23, 2017
Date of Acceptance: Jan 30, 2018
Date of Publishing: Apr 01, 2018
FINANCIAL OR OTHER COMPETING INTERESTS: None.
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)