Unusual traumatic uterine injury: first reported cervicouterine transection

Abstract

Cervical agenesis is one of the Müllerian developmental anomalies that can occur and is usually associated with vaginal atresia rarely isolated. Here we are reporting a case that has been referred as cervical agenesis and found to be a cervicouterine transection, so far not reported in literature. We report a case of traumatic cervicouterine transection in teenager patient who presented with amenorrhea and hematometra. She was primarily investigated and found to have intact full length cervical canal, normal uterus, and urinary system. Operative management confirmed our diagnosis of transection rather than agenesis with her history of trauma at the age of 3 years. We report our case with medical diagnostic approach and management.

Keywords: cervical agenesis, cervicouterine transection, hematometra, primary amenorrhea, uterine injury