Diagnosis and Surgical Treatment of Uterine Isthmus Atresia: A Case Report and Review of the Literature

Uterine isthmus atresia is a rare Müllerian duct anomaly occasionally diagnosed in adolescents with primary amenorrhea and cyclic abdominal pain. A case presented of 14-year-old female monthly lower pain 2-year duration. Magnetic resonance imaging 3-dimensional ultrasound showed separation 10-mm fibrotic tissue between the cervical canal endometrial cavity. In an attempt to preserve reproductive ability, end-to-end anastomosis was laparoscopically performed uterine platinol stent (WallFlex Biliary RX; Boston Scientific, Boston, MA) placed by hysteroscopy avoid stenosis after surgery. Laparoscopic proposed treat congenital atresia.