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Clinical characteristics of congenital cervical atresia and associated endometriosis among 96 patients
Author(s) -
Song Xiaochen,
Zhu Lan,
Ding Jing,
Xu Tao,
Lang Jinghe
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2016.02.015
Subject(s) - medicine , endometriosis , atresia , incidence (geometry) , retrospective cohort study , surgery , obstetrics , gynecology , physics , optics
Objective To describe the anatomic variety of congenital cervical atresia and to explore the relationship between this disorder and pelvic endometriosis. Methods In a retrospective study, records were reviewed for 96 patients with a confirmed diagnosis of congenital cervical atresia treated at a center in Beijing, China, between January 1984 and October 2014. Data on demographic parameters, symptoms, anatomic features, and endometriosis were obtained and analyzed. Results Of the 96 patients, 54 (56%) had pelvic endometriosis, 23 (24%) had a uterine malformation, 75 (78%) had a vaginal malformation, and 12 (13%) had a urinary malformation. The patients with a delay from first symptoms to surgery of more than 1 year had a higher incidence of endometriosis than did those with a delay of 1 year or less (45/71 [63%] vs 7/23 [30%]; P = 0.006), and this trend was not related to the severity of endometriosis ( P = 0.658). Among the 31 patients with unilateral endometrial cysts, 20 (65%) had left‐sided cysts and 11 (35%) had right‐sided cysts ( P = 0.005). Conclusion More than half of patients with congenital cervical atresia had pelvic endometriosis. Early diagnosis and surgery seem to be necessary to prevent endometriosis among patients with congenital cervical atresia.