DOI: 10.36347/sjmcr.2018.v06i10.004

Pages: 742-744

Atresia of cervix is a rare mullerian anomaly. This anomaly frequently occurs in association with absence of a portion or whole of the vagina. A functioning uterus with an absent cervix and vagina is extremely rare with less than 20 cases reported in English literature. The main objectives of treatment of cervical agenesis were symptom relief, achievement of regular menstruation and restoring fertility and management of these cases represent a challenge as in many cases treatment fails and hysterectomy may be needed. In this case a simple method was used and found effective. A 16 size Foley’s catheter was used to create a Uterovaginal tract through vaginal approach in a 14 years old patient with diagnosis of the uncommon cervical atresia and hematometra of 16 weeks pregnant uterus size. The Foley’s catheter was removed five weeks after operation. The patient was followed up for one year, and menstruation occurred regularly at monthly intervals. The procedure seems to be a simple and reasonably effective method for the creation of a menstrual outflow tract for cases of cervical atresia with functioning uterus.