Cervical agenesis combined with vaginal agenesis diagnosed by magnetic resonance imaging

S. M. Markham, G. R. Huggins, T. H. Parmley

Research output: Contribution to journalArticlepeer-review

Abstract

Mullerian anomalies have been considered to be infrequent entitie in the practice of general obstetrics and gynecology. These anomalies, when present, may be isolated or in combination with urologic abnormalities and may include minimal to significant variations in the development of the vagina, cervix, or uterus. Buttram and Gibbons and Buttram have devised a classification of mullerian anomalies establishing five classes depending upon the type, location, and extent of the defect. Agenesis or atresia of the cervix (Buttram class I-B) is a relatively infrequent mullerian anomaly with only 15 cases reported in the world literature by Farber and Marchant in 1975 and an additional 20 by Buttram in 1983. This anomaly frequently occurs in association with absence of a portion or all of the vagina. In many cases of cervical agenesis or atresia, retention of menstrual blood initiates the symptom of cyclic low abdominal pain without menstrual flow, resulting in the patient seeking gynecologic evaluation and care. The diagnosis of cervical agenesis or atresia is generally quite difficult. In the past, a diagnosis was suspected on the basis of history and physical findings, but was not proven until the time of surgery. The possibility of making a correct diagnosis prior to surgery offers significant advantages in patient care, the most important of which is effective presurgical planning and preparation. The diagnosis of a cervicovaginal atresia by magnetic resonance imaging (MRI) has not been reported previously in the medical literature and offers this advantage of diagnosis in a noninvasive manner prior to surgical intervention.

Original languageEnglish (US)
Pages (from-to)143-145
Number of pages3
JournalFertility and sterility
Volume48
Issue number1
DOIs
StatePublished - Jan 1 1987

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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