| Obstructed uteri with a cervix and vagina. | |
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MedLine Citation:
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PMID: 20643405 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To describe a rare anomaly of the female reproductive tract and review the embryology associated with the defect. DESIGN: Case report and review of the literature. SETTING: Major academic medical center. PATIENT(S): A 14-year-old girl with two hemiuteri lacking any communication with a single normal midline cervix and vagina. INTERVENTION(S): Diagnostic laparoscopy with chromopertubation to identify the anomaly and subsequent bilateral supracervical hemihysterectomies. MAIN OUTCOME MEASURE(S): Incidence, pathogenesis, fertility implications, and treatment options for patients with congenital defects in the upper vagina, cervix, and uterus. RESULT(S): Based on classic embryology, the lower vagina forms from the urogenital sinus while the upper vagina, cervix, and uterus form from the müllerian ducts. If a cervix is present, then the upper vagina and uterus are also usually present and should communicate. CONCLUSION(S): This anomaly cannot be fully explained by traditional embryologic developmental theory. It is likely that an insult occurred between 9 weeks, when the uterovaginal canal is formed, and 12 weeks, when the müllerian ducts fuse. |
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Authors:
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Kelly Nicole Wright; Ogochukwu Okpala; Marc R Laufer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Fertility and sterility Volume: 95 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 290.e17-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Gynecology, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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