Cover Image




Atresia of the uterine cervix is a rare Mullerian malformation which may be associated with vaginal agenesis. It is very rare in incidence, less than 60 cases is reported in literature so far. 24 Year old unmarried girl presented with primary amenorrhoea. She was already evaluated for the same in 2007, during which she was diagnosed as lower vaginal atresia and vaginoplasty has been performed then. She was advised regular vaginal dilatation with a mould. But patient had not resumed her menstruation in spite of dilatation for six months and she lost follow up further. She presented again in 2014 July with primary amenorrhoea and severe cyclical abdominal pain restricting her from activities of daily living. Per abdomen examination revealed uterus 24 weeks size. Investigation revealed bulky uterus with adenomyosis, hematometra, bilateral hematosalphinx, and bilateral                  endometriotic cyst. Intra op finding revealed complete cervical atresia and hysterectomy with bilateral removal of                    endometriotic cysts after leaving behind ovarian tissue. Mc Indo redo vaginoplasty done. To conclude, diagnosis of           uterine cervical atresia requires higher clinical suspicion.  Diagnosis should be made as early as possible to avoid           complication that may lead to aggressive surgery such as adnexectomy or hysterectomy. Though the above patient presented to us with complications, maximum efforts had been taken to leaving behind ovarian tissue.                           

Full Text:



Anttila, L., Penttila, T.A. and Suikkari, A.-M. (1999) Successful pregnancy after in-vitro fertilization and transmyometrial embryo transfer in a patient with congenital atresia of the cervix. Hum. Reprod., 14, 1647–1649.

Barach, B., Falces, E. and Benzian, S.R. (1987) Magnetic resonance imaging for diagnosis and preoperative planning in agenesis of the distal vagina. Ann. Plast. Surg., 19, 192–194.

Fedele, L., Portuese, A., Bianchi, S. et al. (1999) Transrectal ultrasonography in the assessment of congenital vaginal canalization defects. Hum. Reprod., 14, 359–362.

Fluker, M.R., Bebbington, M.W. and Munro, M.G. (1994) Successful pregnancy following zygote intrafallopian transfer for congenital cervical hypoplasia. Obstet. Gynecol., 84, 659–661.

Fujimoto, V.Y., Miller, J.H., Klein, N.A. and Soules, M.R. (1997) Congenital cervical atresia: report of seven cases and review of the literature. Am. J. Obstet. Gynecol., 177, 1419–1425.

Geary, W.L. and Weed, J.C. (1973) Congenital atresia of the uterine cervix. Obstet. Gynecol., 42, 213–217.

Haddad, B., Barranger, E. and Paniel, B.-J. (1999) Blind hemi-vagina. Long term follow-up and reproductive performance in 42 cases. Hum. Reprod., 14, 1962–1964.

Jacob, J.H. and Griffin, W.T. (1989) Surgical reconstruction of the congenitally atretic cervix: two cases. Obstet. Gynecol. Surv., 44, 556–569.

Lang, I.M., Babyn, P. and Oliver, G.D. (1999) MR imaging of paediatric utero-vaginal anomalies. Pediatr. Radiol., 29, 163–170.

Maciulla, G.J., Heine, M.W. and Christian, C.D. (1978) Functional endometrial tissue with vaginal agenesis. J. Reprod. Med., 21, 373–376.

Meyer, W.R., McCoy, M.C. and Fritz, M.A. (1995) Combined abdominal-perineal sonography to assist in diagnosis of transverse vaginal septum. Obstet. Gynecol., 85, 882–884.

Nargund, G. and Parsons, J. (1996) A successful in-vitro fertilization and embryo transfer treatment in a woman with previous vaginoplasty for congenital absence of vagina. Hum. Reprod., 11, 1654.

Reinhold, C., Hricak, H., Forstner, R. et al. (1997) Primary amenorrhea: evaluation with MR imaging. Radiology, 203, 383–390.

Singh, J. and Devi, Y.L. (1983) Pregnancy following surgical correction of nonfused Mullerian bulbs and absent vagina. Obstet. Gynecol., 61, 267–269.

Thijssen, R.F., Hollanders, J.M., Willemsen, W.N. et al. (1990) Successful pregnancy after ZIFT in a patient with congenital cervical atresia. Obstet. Gynecol., 76, 902–904.

Welker, B., Krebs, D. and Lang, N. (1988) Pregnancy following repair of a congenital atresia of the uterine cervix and upper vagina. Arch. Gynecol. Obstet., 243, 51–54.

Zarou, G.S., Esposito, G.N. and Zarou, D.M. (1973) Pregnancy following the surgical correction atresia of the cervix. Int. J. Gynaecol. Obstet., 11, 143–146.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University