Abstract

We present a 14-years old virgin with partial congenital cervical canal agenesis and hematometra. On examination, she was virgin with intact hymen and a 7 cm long vagina. A pelvic ultrasonography revealed hematometra and hematocervix. Surgical therapy included creation of a patent cervix by making a midline vertical cervical and upper vaginal incision with a subsequent excision of the distal fibrous tissue at the distal portion of the cervix. A stent was left in place for 6 weeks. Regular menstrual periods were observed for 6 months beginning at the first month. The follow-up pelvic ultrasonography was normal. We concluded that transabdominal partial cervical excision of the distal atretic portion permits the creation of a patent cervical canal in virgin and preserves the hymen intact.

Key words: Cervical agenesis, canalization, hematometra.