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Primary infertility associated with isolated cervical collecting diverticulum
Muhieddine Seoud1, Johnny Awwad, Abdallah Adra
1Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon. mike@aub.edu.lb
Fertility and Sterility
|January 10, 2002
Summary
A rare congenital cervical diverticulum was identified in a woman with infertility and abnormal uterine bleeding. Treatment led to a successful twin pregnancy, highlighting the importance of recognizing this anomaly.
Area of Science:
- Reproductive Medicine
- Gynecologic Pathology
- Congenital Anomalies
Background:
- Congenital cervical diverticula are rare and previously undescribed anomalies.
- Cervical abnormalities can impact gynecologic and reproductive health.
Observation:
- A 31-year-old woman presented with menometrorrhagia and primary infertility.
- Imaging revealed an isolated cervical diverticulum impacting the cervical canal.
Findings:
- The cervical diverticulum was diagnosed using hysterosalpingography, MRI, hysteroscopy, and laparoscopy.
- Controlled ovarian hyperstimulation and intrauterine insemination resulted in a twin pregnancy.
Implications:
- This case highlights the diagnostic and management challenges of rare congenital cervical anomalies.
- Early identification and intervention are crucial for improving reproductive outcomes in such cases.