CASE REPORT |
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Year : 2020 | Volume
: 25
| Issue : 3 | Page : 184-186 |
Posterior sagittal approach for uterovaginal anastomosis in a case of congenital cervical atresia with anorectal malformation
Sandesh V Parelkar, Pooja Tiwari, Beejal V Sanghvi, Rahul K Gupta, Kedar P Mudkhedkar, Satej S Mhaskar, Rujuta S Shah
Department of Paediatric Surgery, Seth GS Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India
Correspondence Address:
Dr. Pooja Tiwari Department of Pediatric Surgery, King Edward Memorial Hospital, Ward 3, Old Building, Parel, Mumbai - 400 012, Maharashtra India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jiaps.JIAPS_40_19
Cervical atresia is a rare association with anorectal malformation (ARM) which can be missed till puberty in the presence of normal vaginal orifice. A 12-year-old girl operated for ARM in neonatal age presented with primary amenorrhea. She had a normal vaginal opening, short perineal body, and prolapsed anteposed anus and was diagnosed with cervical agenesis. As the posterior sagittal approach is standard to place the rectum in correct anatomical position, reconstruction of the anus along with adequate perineal body and uterovaginal anastomosis was performed through this approach. This report highlights the utility and versatility of this approach for the management of such complex cases.
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