Conservative Management of Tubo-Ovarian Abscess as a Complication of Reconstructive Surgery for Congenital Cervicovaginal Agenesis: A Case Report
-
Izat Mohammad Khawajah
,
Sima Shamshiri Khamene
,
Zahra Rezaei
,
Fahimeh Azizinik
,
Farahnazsadat Ahmadi
,
Khadijeh Adabi
Abstract
Cervical agenesis, a rare birth defect affecting the female reproductive system, is often accompanied by vaginal agenesis in only 39% of cases. In the past, the standard treatment for this condition was hysterectomy. However, as medical technology and techniques continue to advance, more conservative surgeries and assisted reproductive methods are now being considered as the primary treatment options. Nevertheless, complications such as restenosis, pelvic abscess, and recurrent pelvic endometriosis should always be considered. We report a case of cervicovaginal agenesis complication after reconstructive surgery in a 16-year-old adolescent girl. A conservative surgical approach to cervical malformations may cause complications
that can be prevented or managed by regular follow-ups.
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[3] Ludwin A, Pfeifer SM. Reproductive surgery for müllerian anomalies: a review of progress in the last decade. Fertil
Steril. 2019;112(3):408-16. https://doi.org/10.1016/j.fertnstert.2019.07.005
[4] Rock JA, Roberts CP, Jones HW Jr. Congenital anomalies of the uterine cervix: lessons from 30 cases managed clinically by a common protocol. Fertil Steril. 2010;94(5):1858-63. https://doi.org/10.1016/j.fertnstert.2009.10.024
[5] Kimble R, Molloy G, Sutton B. Partial cervical agenesis and complete vaginal atresia. J Pediatr Adolesc Gynecol.
2016;29(3):e43-7. https://doi.org/10.1016/j.jpag.2015.11.004
[6] Dornelas J, Jármy-Di Bella ZIK, Heinke T, Kajikawa MM, Takano CC, Zucchi EVM, et al. Vaginoplasty with oxidized cellulose: anatomical, functional and histological evaluation. Eur J Obstet Gynecol Reprod Biol. 2012;163(2):204-9. https://doi.org/10.1016/j.ejogrb.2012.04.018
[7] Agbor VN, Njim T, Aminde LN. Pyosalpinx causing acute appendicitis in a 32-year-old Cameroonian female: a case
report. BMC Res Notes. 2016;9:1-4. https://doi.org/10.1186/s13104-016-2175-3
[8] Cho HW, Koo YJ, Min KJ, Hong JH, Lee JK. Pelvic inflammatory disease in virgin women with tubo-ovarian abscess: a singlecenter experience and literature review. J Pediatr Adolesc Gynecol. 2017;30(2):203-8. https://doi.org/10.1016/j.
jpag.2015.08.001
[9] Hakim J, Childress KJ, Hernandez AM, Bercaw-Pratt JL. Tuboovarian abscesses in nonsexually active adolescent females: a large case series. J Adolesc Health. 2019;65(2):303-5. https://doi.org/10.1016/j.jadohealth.2019.02.009
[10] Mikos T, Lantzanaki M, Anthoulakis C, Grimbizis GF. Functional and reproductive outcomes following surgical management of congenital anomalies of the cervix: a systematic review. J Minim Invasive Gynecol. 2021;28(8):1452-61. https://doi.org/10.1016/j.jmig.2020.10.030
[11] Kriplani A, Kachhawa G, Awasthi D, Kulshrestha V. Laparoscopic-assisted uterovaginal anastomosis in congenital
atresia of uterine cervix: follow-up study. J Minim Invasive Gynecol. 2012;19(4):477-84. https://doi.org/10.1016/j.
jmig.2012.03.017
[12] Casey AC, Laufer MR. Cervical agenesis: septic death after surgery. Obstet Gynecol. 1997;90(4 Pt 2):706-7. https://doi.org/10.1016/S0029-7844(97)00391-8
[13] Rock JA, Schlaff WD, Zacur HA, Jones HW Jr. The clinical management of congenital absence of the uterine cervix.
Int J Gynecol Obstet. 1984;22(3):231-5. https://doi.org/10.1016/0020-7292(84)90012-2
[14] Maraqa T, Mohamed M, Coffey D, Sachwani-Daswani GR, Alvarez C, Mercer L. Bilateral recurrent pyosalpinx
in a sexually inactive 12-year-old girl secondary to rare variant of Mullerian duct anomaly. BMJ Case Rep. 2017 Jun
24;2017:bcr2016218924. https://doi.org/10.1136/bcr-2016-218924
[15] Murata T, Endo Y, Furukawa S, Ono A, Kiko Y, Soeda S, et al. Successful laparoscopic resection of ovarian abscess caused by Staphylococcus aureus in a 13-year-old girl: a case report and review of literature. BMC Womens Health. 2021;21(1):198. https://doi.org/10.1186/s12905-021-01335-z
reproductive failure: a critical appraisal. Hum Reprod Update. 2008;14(5):415-29. https://doi.org/10.1093/humupd/dmn018
[2] Mikos T, Gordts S, Grimbizis GF. Current knowledge about the management of congenital cervical malformations: a
literature review. Fertil Steril. 2020;113(4):723-32. https://doi.org/10.1016/j.fertnstert.2020.02.006
[3] Ludwin A, Pfeifer SM. Reproductive surgery for müllerian anomalies: a review of progress in the last decade. Fertil
Steril. 2019;112(3):408-16. https://doi.org/10.1016/j.fertnstert.2019.07.005
[4] Rock JA, Roberts CP, Jones HW Jr. Congenital anomalies of the uterine cervix: lessons from 30 cases managed clinically by a common protocol. Fertil Steril. 2010;94(5):1858-63. https://doi.org/10.1016/j.fertnstert.2009.10.024
[5] Kimble R, Molloy G, Sutton B. Partial cervical agenesis and complete vaginal atresia. J Pediatr Adolesc Gynecol.
2016;29(3):e43-7. https://doi.org/10.1016/j.jpag.2015.11.004
[6] Dornelas J, Jármy-Di Bella ZIK, Heinke T, Kajikawa MM, Takano CC, Zucchi EVM, et al. Vaginoplasty with oxidized cellulose: anatomical, functional and histological evaluation. Eur J Obstet Gynecol Reprod Biol. 2012;163(2):204-9. https://doi.org/10.1016/j.ejogrb.2012.04.018
[7] Agbor VN, Njim T, Aminde LN. Pyosalpinx causing acute appendicitis in a 32-year-old Cameroonian female: a case
report. BMC Res Notes. 2016;9:1-4. https://doi.org/10.1186/s13104-016-2175-3
[8] Cho HW, Koo YJ, Min KJ, Hong JH, Lee JK. Pelvic inflammatory disease in virgin women with tubo-ovarian abscess: a singlecenter experience and literature review. J Pediatr Adolesc Gynecol. 2017;30(2):203-8. https://doi.org/10.1016/j.
jpag.2015.08.001
[9] Hakim J, Childress KJ, Hernandez AM, Bercaw-Pratt JL. Tuboovarian abscesses in nonsexually active adolescent females: a large case series. J Adolesc Health. 2019;65(2):303-5. https://doi.org/10.1016/j.jadohealth.2019.02.009
[10] Mikos T, Lantzanaki M, Anthoulakis C, Grimbizis GF. Functional and reproductive outcomes following surgical management of congenital anomalies of the cervix: a systematic review. J Minim Invasive Gynecol. 2021;28(8):1452-61. https://doi.org/10.1016/j.jmig.2020.10.030
[11] Kriplani A, Kachhawa G, Awasthi D, Kulshrestha V. Laparoscopic-assisted uterovaginal anastomosis in congenital
atresia of uterine cervix: follow-up study. J Minim Invasive Gynecol. 2012;19(4):477-84. https://doi.org/10.1016/j.
jmig.2012.03.017
[12] Casey AC, Laufer MR. Cervical agenesis: septic death after surgery. Obstet Gynecol. 1997;90(4 Pt 2):706-7. https://doi.org/10.1016/S0029-7844(97)00391-8
[13] Rock JA, Schlaff WD, Zacur HA, Jones HW Jr. The clinical management of congenital absence of the uterine cervix.
Int J Gynecol Obstet. 1984;22(3):231-5. https://doi.org/10.1016/0020-7292(84)90012-2
[14] Maraqa T, Mohamed M, Coffey D, Sachwani-Daswani GR, Alvarez C, Mercer L. Bilateral recurrent pyosalpinx
in a sexually inactive 12-year-old girl secondary to rare variant of Mullerian duct anomaly. BMJ Case Rep. 2017 Jun
24;2017:bcr2016218924. https://doi.org/10.1136/bcr-2016-218924
[15] Murata T, Endo Y, Furukawa S, Ono A, Kiko Y, Soeda S, et al. Successful laparoscopic resection of ovarian abscess caused by Staphylococcus aureus in a 13-year-old girl: a case report and review of literature. BMC Womens Health. 2021;21(1):198. https://doi.org/10.1186/s12905-021-01335-z
| Files | ||
| Issue | Vol 10 No 6 (2025): November- December | |
| Section | Case Report(s) | |
| Keywords | ||
| Tubo-ovarian abscess congenital cervicovaginal agenesis Reconstructive surgery | ||
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How to Cite
1.
Mohammad Khawajah I, Shamshiri Khamene S, Rezaei Z, Azizinik F, Ahmadi F, Adabi K. Conservative Management of Tubo-Ovarian Abscess as a Complication of Reconstructive Surgery for Congenital Cervicovaginal Agenesis: A Case Report. CRCP. 2026;10(6):270-274.
