| Primary infertility associated with isolated cervical collecting diverticulum. | |
| | |
MedLine Citation:
|
PMID: 11779612 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To describe a previously unreported isolated congenital cervical diverticulum and its gynecologic, reproductive, and obstetrical implications. DESIGN: Case report. SETTING: A university hospital. PATIENT: A 31-year-old woman presenting with menometrorrhagia and primary infertility. Investigation revealed an isolated collecting cervical diverticulum causing prolonged postmenstrual spotting, possibly interfering with sperm capacitation and access to the uterine cavity. INTERVENTION(S): The examination included hysterosalpingography and magnetic resonance imaging. The combined hysteroscopy and laparoscopy revealed a 5 x 5 cm cervical diverticulum, around 1 cm from the external cervical os, leading to a short cervical canal connected to a normal uterine cavity. The patient achieved a pregnancy after controlled ovarian hyperstimulation and ultrasonographically guided intrauterine insemination. MAIN OTUCOME MEASURE(S): Pregnancy and obstetrical outcome. RESULT(S): Extensive evaluation revealed the patient's condition to be a previously undescribed congenital cervical anomaly. The patient's infertility was corrected by ovulation induction and sonographically guided intrauterine insemination, which resulted in a twin pregnancy. After 27 weeks of gestation, preterm labor complicated the delivery. CONCLUSION(S): The diagnosis and management of this unusual congenital cervical diverticulum present a particular challenge, as this congenital abnormality has not been previously described or reported. |
| | |
Authors:
|
Muhieddine Seoud; Johnny Awwad; Abdallah Adra; Ihab Usta; Ali Khalil; Anwar Nassar |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Fertility and sterility Volume: 77 ISSN: 0015-0282 ISO Abbreviation: Fertil. Steril. Publication Date: 2002 Jan |
Date Detail:
|
Created Date: 2002-01-07 Completed Date: 2002-02-13 Revised Date: 2005-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
|
Languages: eng Pagination: 179-82 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon. mike@aub.edu.lb |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Cervix Uteri / abnormalities Diverticulum / complications*, diagnosis, radiography, surgery Female Humans Hysterosalpingography Infertility, Female / etiology* Pregnancy Uterine Cervical Diseases / complications*, diagnosis, radiography, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A randomized controlled trial of tubal flushing with lipiodol for unexplained infertility.
Next Document: Evidence of early placental vascular anastomosis during selective embryo reduction in monozygotic tw...