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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2019, Number 02

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Ginecol Obstet Mex 2019; 87 (02)

Spontaneous pregnancy in patient with cervical agenesis

Apodaca-Ramos I, del Cueto-Aguilera MD, Moncada-Madrazo M, del Valle-Dávila SA, Garza-Padilla E, Apodaca-Ramos GA
Full text How to cite this article

Language: Spanish
References: 6
Page: 125-127
PDF size: 361.23 Kb.


Key words:

Mullerian malformations; Endometrium, Primiparous patient, Cervix uteri, Pregnancy, Spontaneously.

ABSTRACT

Background: The incidence of cervical agenesis with functional endometrium is unknown, but it’s estimated to be less than 0.1% in the general population. The reproductive prognosis in Müllerian malformations is limited and, in most cases, requires multiple surgical interventions to be improved.
Case Report: A 21-year-old primiparous patient with a history of agenesis of the cervix and two upper thirds of the vagina. Attended a first-time obstetric appointment at 38.1 weeks of gestation. She refers that the pregnancy was conceived spontaneously and denied complications during pregnancy. A cesarean section was scheduled to end the pregnancy, which had no trans or post-operative maternal-fetal morbidity.
Conclusions: Spontaneous pregnancy in patients with congenital agenesis of the cervix should be addressed in time to ensure a favorable obstetric outcome.


REFERENCES

  1. Conti-Ribeiro S, et al. Müllerian duct anomalies: review of current management. Sao Paulo Med J 2009;127(2):92-96. http://dx.doi.org/10.1590/S1516-31802009000200007.

  2. Grimbizis GF, et al. Successful end to end cervico-cervical anastomosis in a patient with congenital cervical fragmentation: case report. Hum Reprod 2004;5:1204-10. https:// doi.org/10.1093/humrep/deh213

  3. The American Fertility Society classifications of Adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies and intrauterine adhesions. Fertil Steril 1988;49(6):944-55.

  4. Rock JA, et al. Congenital anomalies of the uterine cervix: lessons from 30 cases managed clinically by a common protocol. Fertil Steril 2010;34(5):1858-63. https://doi. org/10.1016/j.fertnstert.2009.10.024

  5. Olpin JD, et al. Imaging of Müllerian duct anomalies. Clin Obstet Gynecol 2009;52(1):40-56. doi: 10.1097/ GRF.0b013e3181958439Roberts CP, et al. Surgical methods in the treatment of congenital anomalies of the uterine cervix. Curr Opin Obstet Gynecol 2011;23(4):251-57. DOI: 10.1097/GCO.0b013e3283478839

  6. Grimbizis GF, et al. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update 2001;7(2):161-74. https://doi. org/10.1093/humupd/7.2.161Raga F, et al. Reproductive impact of congenital Müllerian anomalies. Hum Reprod 1997;12:2277-81.




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Ginecol Obstet Mex. 2019;87