Congenital atresia of the uterine cervix with pelvic endometriosis
W. C. Nunley Jr and J. D. Kitchin 3rd
Congenital atresia of the uterine cervix is a rare Mullerian anomaly. About
half of the reported cases are associated with pelvic endometriosis. We
describe a 20-year-old woman with congenital cervical atresia and pelvic
endometriosis whose manifesting symptoms were primary amenorrhea and pelvic
pain. Surgical treatment consisted of excision of bilateral ovarian
endometrial cysts and hysterectomy. A review of the literature suggests
that successful surgical management with regard to preservation of
reproductive potential may be possible in some cases, but treatment must be
individualized and hysterectomy is sometimes indicated.
