Document Type : Case Report Article

Authors

• Francesco Fedele ¹
• Giovanna Esposito ²
• Fabio Parazzini ²

¹ Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico: Milan, Lombardia, IT

² Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico: Milan, Lombardia, IT

Abstract

We report the association between situs viscerum inversus and complete cervicovaginal agenesis. Situs viscerum inversus, a rare anomaly, is characterized by a mirror-image of the visceral organs. Cervicovaginal atresia is a rare variety of Müllerian duct aplasia, characterized by a functioning uterine body (normal or malformed) with the constant absence of the cervix and the total or partial absence of the vagina.

We describe a case of a 17-year-old female patient. During hospitalization at out gynecologycal department, a complete digestive tract x-ray resulted in a depiction of severe congenital intestinal malrotation. An initial gynecological misdiagnosis led to two an inadequate and unsuccessful attempts of conservative surgery before reaching our academic center. Despite a finally complete diagnosis and adequate conservative surgery, the results of previous surgeries have resulted in a failure of conservative therapy and the need for demolitive surgery. Knowledge of this malformative association is crucial for planning interventional procedures.

Keywords

• Rokitansky syndrome
• Cervicovaginal atresia
• Uterine rudimentary horns
• Neovagina
• Mullerian anomalies

Main Subjects

• Obstetrics and Gynecology