About a case of traumatic separation of the cervix from the uterine corpus, diagnosed in a context of infertility.
This article reports a case of cervico-isthmic disjunction unnoticed during childhood, diagnosed in a context of primary infertility and endometriosis, and surgically treated. It is an uncommon condition. The diagnosis is most often made as part of an assessment of primary amenorrhea in a young woman with a history of severe pelvic trauma. It is suspected after imaging assessment and confirmed intraoperatively. The treatment consists in an anastomosis between the cervix and the uterine body, after individualizing these two structures, around a drain guiding healing. After this surgery, multiple pregnancies have been successfully carried out.
['Vignolle|J|J|', 'Lefebvre|C|C|', 'Lucot|J P|JP|', 'Rubod|C|C|']
D000063:Accidents, Traffic D000328:Adult D002584:Cervix Uteri D004715:Endometriosis D005260:Female D006801:Humans D007246:Infertility D008279:Magnetic Resonance Imaging D014591:Uterine Diseases D014599:Uterus
Infertility Cervico-isthmic disjunction Pelvic trauma Cervico-isthmic anastomosis Uterine avulsion