Cervicovaginal agenesis: spontaneous gestation at term after previous reimplantation of the uterine corpus in a neovagina: Case Report -- Acién et al., 10.1093 humrep dem420 -- Human Reproduction
The Author 2007. Published by Oxford University Press on behalf of the European Homeland of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions oxfordjournals.org Cervicovaginal agenesis: spontaneous pregnancy at name after preceding reimplantation of the uterine corpus in a neovagina: Circumstances Announcement P.
Acién 1, 2, 3, M.I. Acién 1, 2, F. Quereda 1, 2 and T. Santoyo 1, 2 1 Function of Obstetrics and Gynecology, University Infirmary of San Juan, Campus of San Juan, Alicante, Spain 2 Branch Division of Gynecology, Miguel Hernández University, Campus of San Juan, Alicante, Spain 3 Packages address. E-mail: acien at umh.es We demonstrate an exceptional plight of a patient with full cervical atresia and complete vaginal aplasia.
After McIndoe vaginoplasty, cervicoitsmic resection with implantation and reimplantation of the uterine corpus in the neovagina, and conservative surgery for endometriosis, the patient had ordinary menstruations and became pregnant spontaneously. A Caesarean reduce was performed at week 36.
This is the third published situation report of a auspicious spontaneous pregnancy and Caesarean divide at interval in a patient with exhaustive cervicovaginal aplasia, and the antecedent published process discover of a patient fitting pregnant after McIndoe vaginoplasty, cervicoistmic resection and utero-neovaginal anastomosis. Incubation developed successfully without cerclage.
We reccomend conservative surgery in patients with congenital cervical atresia. McIndoe vaginoplasty should be performed as soon as likely in youthfulness whether there is associated vaginal aplasia. Nevertheless, fibrotic stenosis can occur, yet after distinct age and, therefore, fresh operations and uterine reimplantation may be required.
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