Related Experiment Video
Updated: Jun 12, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Cervical fragmentation: a successful end-to-end anastomosis
Serdar Dilbaz1, F Suat Dede, Mine Kiseli
1Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Health Teaching & Research Hospital, Ankara, Turkey.
Objective:
To report a case of cervical dysgenesis presenting with hematometra.
Design:
Case report.
Setting:
Teaching and research hospital.
Patient(S):
A 12-year-old girl presented with primary amenorrhea. At laparoscopic examination she was found to have a ball-shaped enlarged uterus without any type of connection to the upper normal-appearing cervix.
Intervention(S):
Conservative surgery with end-to-end anastomosis of the upper blunt end of the cervix to the lower part of the uterus was performed.
Main Outcome Measure(S):
Preserve fertility and/or maintain cyclic menstrual cycles.
Result(S):
After having normal menses for 3 months, the patient was admitted again with occlusion at the anastomosis site. Hematometra was drained and hysteroscopic and laparoscopic observations proved a normal-appearing uterus, endocervical canal, and cervix.
Conclusion(S):
Conservative surgical treatment with intact cervical and uterine segments, with an end-to-end cervicouterine anastomosis is a feasible and effective option in patients with cervical transverse fragmentation.
