{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T14:10:12Z","timestamp":1752156612928,"version":"3.41.2"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Cervicovaginal anomalies are rare and form 4\u20137% of the M\u00fcllerian anomalies. Traditionally, cervicovaginal agenesis\/dysgenesis had been treated by hysterectomy due to the high risks of restenosis and sepsis which are associated with cervical canalization. In this work, we report the case of a 14-year-old patient who presented with amenorrhea and cyclic abdominal pain. The patient had normal secondary sexual development. Magnetic resonance imaging revealed hematometra and bilateral hematosalpinx. Laparoscopic exploration identified an obstructed cervix and blunt vagina. The patient underwent direct cervicovaginal anastomosis under laparoscopic guidance. After 1\u202fmonth of follow-up, the patient had normal menstruation and a healthy uterine cavity and cervical canal upon hysteroscopy.<\/jats:p>","DOI":"10.3389\/fmed.2025.1604463","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T05:44:48Z","timestamp":1752126288000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopy-assisted uterovaginal anastomosis in a patient with atypical cervicovaginal malformation: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Antoine","family":"Naem","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graziella","family":"Moufawad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzana","family":"Sultan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaki","family":"Sleiman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1016\/j.fertnstert.2019.07.005","article-title":"Reproductive surgery for M\u00fcllerian anomalies: a review of Progress in the last decade","volume":"112","author":"Ludwin","year":"2019","journal-title":"Fertil Steril"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1452","DOI":"10.1016\/j.jmig.2020.10.030","article-title":"Functional and reproductive outcomes following surgical Management of Congenital Anomalies of the cervix: a systematic review","volume":"28","author":"Mikos","year":"2021","journal-title":"J Minim Invasive Gynecol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1419","DOI":"10.1016\/s0002-9378(97)70085-1","article-title":"Congenital cervical atresia: report of seven cases and review of the literature","volume":"177","author":"Fujimoto","year":"1997","journal-title":"Am J Obstet Gynecol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1007\/s00404-022-06825-5","article-title":"Reconstructive surgery for congenital atresia of the uterine cervix: a systematic review","volume":"308","author":"Fedele","year":"2023","journal-title":"Arch Gynecol Obstet"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1093\/humupd\/7.2.161","article-title":"Clinical implications of uterine malformations and Hysteroscopic treatment results","volume":"7","author":"Grimbizis","year":"2001","journal-title":"Hum Reprod Update"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1858","DOI":"10.1016\/j.fertnstert.2009.10.024","article-title":"Congenital anomalies of the uterine cervix: lessons from 30 cases managed clinically by a common protocol","volume":"94","author":"Rock","year":"2010","journal-title":"Fertil Steril"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1722","DOI":"10.1093\/humrep\/16.8.1722","article-title":"Utero-vaginal anastomosis in women with uterine cervix atresia: long-term follow-up and reproductive performance. A study of 18 cases","volume":"16","author":"Deffarges","year":"2001","journal-title":"Hum Reprod"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/s0015-0282(16)47230-4","article-title":"M\u00fcllerian anomalies and their management","volume":"40","author":"Buttram","year":"1983","journal-title":"Fertil Steril"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s10397-010-0640-x","article-title":"Uterovaginal anastomosis for the management of congenital atresia of the uterine cervix","volume":"8","author":"Keepanasseril","year":"2011","journal-title":"Gynecol Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1016\/j.jmig.2013.03.010","article-title":"Laparoscopic-assisted Uterovaginal anastomosis for uterine cervix atresia with vaginal aplasia using a silicone stent lined with acellular porcine small intestinal submucosa graft inserted using a 16f Foley catheter","volume":"20","author":"Zhou","year":"2013","journal-title":"J Minim Invasive Gynecol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1621","DOI":"10.2147\/ijwh.S384339","article-title":"An investigation of depressive symptoms in patients with congenital cervical and vaginal aplasia: a cross-sectional study","volume":"14","author":"Liu","year":"2022","journal-title":"Int J Women's Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"2032","DOI":"10.1093\/humrep\/det098","article-title":"The eshre\/Esge consensus on the classification of female genital tract congenital anomalies","volume":"28","author":"Grimbizis","year":"2013","journal-title":"Hum Reprod"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1016\/0002-9378(58)90084-x","article-title":"Surgical correction of congenital atresia of the cervix","volume":"76","author":"Rotter","year":"1958","journal-title":"Am J Obstet Gynecol"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1604463\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T13:39:03Z","timestamp":1752154743000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1604463\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,9]]},"references-count":13,"alternative-id":["10.3389\/fmed.2025.1604463"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1604463","relation":{},"ISSN":["2296-858X"],"issn-type":[{"type":"electronic","value":"2296-858X"}],"subject":[],"published":{"date-parts":[[2025,7,9]]},"article-number":"1604463"}}