Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 10 6 2026 06 03 270 274 Izat Mohammad Khawajah Maternal Fetal and Neonatal Research Center, Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Sima Shamshiri Khamene Maternal Fetal and Neonatal Research Center, Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Zahra Rezaei Maternal Fetal and Neonatal Research Center, Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Fahimeh Azizinik Department of Radiology,Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. Farahnazsadat Ahmadi Clinical Research Development Unit (CRDU), Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran. Khadijeh Adabi Maternal Fetal and Neonatal Research Center, Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. AND Department of Obstetrics and Gynecology,Female Pelvic Medicine and Surgery Center, Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. 2026 02 25 2026 04 26 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.  https://crcp.tums.ac.ir/index.php/crcp/article/view/1174 https://crcp.tums.ac.ir/index.php/crcp/article/download/1174/761