Abdominal cerclage in a patient with a neocervix with planned cesarean hysterectomy at delivery

Pregnancies complicated by congenital uterine anomalies (CUA) with a neocervix present a variety of challenges for the obstetrician. Abdominal cerclage can be utilized to help prevent preterm delivery in a patient with a neocervix. A 14‐year‐old female presented with right adnexal pain and was found...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2021-01, Vol.47 (1), p.416-419
Main Authors: Schaible, Burk, Haught, Erica, Vozar, Amber, Riggs, Kassandra, Calhoun, Byron, Bush, Stephen
Format: Article
Language:English
Subjects:
Abdomen
abdominal cerclage
Cervix
cesarean hysterectomy
Hysterectomy
neocervix
Premature birth
Sutures
unicornuate uterus
uterine anomaly
Uterus
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Summary:Pregnancies complicated by congenital uterine anomalies (CUA) with a neocervix present a variety of challenges for the obstetrician. Abdominal cerclage can be utilized to help prevent preterm delivery in a patient with a neocervix. A 14‐year‐old female presented with right adnexal pain and was found to have a complex uterine anomaly resembling a noncommunicating unicornuate uterus with a cervix embedded in the rudimentary horn. A neocervix was created during surgical removal of the rudimentary horn. The patient became pregnant at age 24, and a transabdominal cerclage served an important role in the prevention of preterm delivery. Although limited data exists regarding the outcomes for the use of abdominal cerclage after the creation of a neocervix, term delivery is possible with said intervention.
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.14525