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Updated: Jun 25, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Horizontal uterine torsion in the setting of complete cervical and partial vaginal agenesis: a case report
Kenan Omurtag1, Donna Session, Pavna Brahma
1Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia, USA. komurta@emory.edu
Objective:
To report a case in which uterine torsion in a nulligravid female adolescent was noted upon surgical management of complete cervical and partial vaginal agenesis.
Design:
Case report.
Setting:
University hospital.
Patient(S):
A 13-year-old nulligravid adolescent female.
Intervention(S):
Ultrasound-guided vaginal exploration, diagnostic laparoscopy, and hysterectomy.
Main Outcome Measure(S):
Uterine torsion as complication of cervical agenesis and its management.
Result(S):
Complete cervical agenesis, hematometra, and resultant 180-degree horizontal uterine torsion and sacral entrapment.
Conclusion(S):
Cervical agenesis can be a risk factor for uterine torsion. Hysterectomy is a common treatment due to resultant hematometra, pelvic pain, and severe endometriosis, although rare case reports show success with uterovaginal recanalization in cases with cervical dysgenesis.
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