Successful surgical treatment of complete cervical agenesia with duplicate uterus associated with severe DIE

Cervical agenesis is a rare clinical condition presenting with primary amenorrhea and often associated other Müllerian duct malformations. Quick definitive surgical treatment essential in preventing later, severe complications associating consequential endometriosis. The unsuccessful series of operations result loss the uterus. major challenge approaches not to reconstruct flow menstrual fluid but sustain anatomic situation prevent later stenosis obstruction. In our case report we present steps successful complex malformation excellent long-term results. 26-year-old patient history 3 previous presented clinic stage IV had abdominal pain each menstruation MRI scan confirmed complete cervical agenesia uterus duplex consequent haematometra, haematosalpinx endometriotic cysts (DIE). We performed laparotomy eradication DIE simple trachelectomy agenetic tissue metroplasty preservation uterine arteries would like fully photo video documented pre- postoperative imaging documentation case.The ethical approval registration number at University Of Debrecen is: DE KK RKEB.IKEB 6278A-2022 case. 1. Deffarges JV, Haddad B, Musset R, et al: Utero-vaginal anastomosis women cervix atresia: follow-up reproductive performance. A study 18 cases. Hum Reprod 2001;16:17222. Fujimoto VY, Miller JH, Klein NA, Congenital seven cases review literature. Am J Obstet Gynecol 1997; 177:14193. Bugmann P, Amaudruz M, Hanquinet S, Uterocervicoplasty bladder mucosa layer for agenesis. Fertil Steril 2002; 77:8314. Niver DH, Barrette G, Jewelewicz R: atresia vagina: three 1980; 33:255. Dillon WP, Mudaliar Wingate MB: cervix. 1979; 54:126