CERVICAL AGENESIS – A RARE CLINICAL PRESANTATION.

Cervical agenesis is a rare mullarian anomaly occur 1 in 80,000 births. According to Modified American fertility society it is classified under class II b. Case report:- A 40yrs old Nulligravida presented to Gynaec OPD with c/o urinary retention for 1 day, right loin pain for 10 months, with primary amenorrhoea. On examination secondary sexual characters tanner IV, per abdomen-a 28 weeks size mass arising from pelvis, local examination External genitalia were normal. Per speculum, vagina healthy, Cervix is not visualized. We Planned for laparotomy under general anaesthesia. We removed uterine body and fundus , both fallopian tubes and ovaries. Histopathological examination shows cervical agenesis with haematometra with subserous fibroid with haematosalpinx. Discussion:- Mullarian anomalies, present in multiple ways from infancy to young adulthood. Patients may present with mucocolpos, hematocolpos or haematometra, primary amenorrhoea, pelvic pain, repeat pregnancy loss, and infertility. One of the rarest anomalies is cervical agenesis.