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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=50699#.VEiZ7FfHRK0
Author(s)
Background: A case of a 27-year-old G1P0 Education
graduate who became secondarily infertile because of the distortion of
the cervico-vaginal angle as a result of adherence of the body of the
uterus to the anterior abdominal wall. Aim: The aim of this article is
to raise awareness and a high index of suspicion in patients who earlier
had a classical caesarian section that presented with secondary
infertility. Case Presentation: A 27-year-old G1P0 graduate presented at
the Faith Foundation Specialist Clinic, Calabar with secondary
infertility. She previously had an emergency classical Caesarian Section
for an obstructed labour in an apparent attempt to serve the baby’s
life. The body of the uterus became adherent to the anterior abdominal
wall thus distorting the angulation of the cervix and vagina. Available
investigation that was done revealed no abnormality with the husband,
but in the cause of further investigations she developed signs and
symptoms of acute appendicitis for which she was operated. The access
was through the midline incision in the anterior abdominal wall where it
was discovered that the uterine body was adherence to the anterior
abdominal wall. This was released and placed in the pelvis.
Subsequently, she became pregnant and was delivered. Conclusion:
Classical approaches in Caesarian Sections are rarely used nowadays. The
Surgeon/Gynaecologist should be conscious of the possibility of the
uterine body adherence to the anterior abdominal wall when cases
involving secondary infertility present.
KEYWORDS
Cite this paper
Archibong, G. , Archibong, A. and Udo, J. (2014)
Distortion of the Cervico-Vaginal Angle—A Cause of Secondary
Infertility. Case Reports in Clinical Medicine, 3, 557-559. doi: 10.4236/crcm.2014.310121.
| [1] |
Hull, M.G.R. and Cahill, D.J.
(1998) Female Infertility. Endocrinology Metabolism Clinics of North
America, 27, 851-876. http://dx.doi.org/10.1016/S0889-8529(05)70044-X |
| [2] | Semm, M. (1984) Endoscopic Intra-Abdominal Surgery. 2nd Edition, Wisap. |
| [3] | Isakov, Y.F., Stepanov, E.A., Dronov, A.F., et al. (1990) Diagnosis and Treatment of Adhesive Intestinal Obstruction in Children. Chirurgiia, 4, 3-7. |
| [4] | Archibong, A.E. (1993) Laparoscopic Operations in Paediatric Surgery. British Journal of Surgery, 80, 1216 (Letter). |
| [5] | World Health Organisation (1999) WHO Laboratory Manual for the Examination of Human Semen and Sperm-Cervical Mucus Interaction. 4th Edition, Cambridge University Press, Cambridge. eww141023lx |
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