Abstract | OBJECTIVE: The incidence of hematometra caused by cervical stenosis after conization is <1%. Nevertheless, if dilatation was unsuccessful, further therapy often remains unclear, and the clinical consequences can be severe, including hysterectomy. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 33-year old patient who developed recurrent cervical stenosis with consecutive hematometra after two conizations during lactation amenorrhea that could not be treated by dilatation and insertion of a temporary plastic catheter according to the manufacturer's instructions. INTERVENTION(S): Insertion of a coated nitinol stent in the cervical canal after dilatation and hysteroscopic removal of the hematometra. MAIN OUTCOME MEASURE(S): Normal menstruation, future pregnancy. RESULT(S): The patient was free of symptoms, had a normal menstruation, and has become pregnant. CONCLUSION(S): The insertion of a coated vessel stent in the uterine cervix appears to be a valid alternative in patients with recurrent cervical stenosis and hematometra after conization to preserve childbearing function.
|
Authors | Dorothee Grund, Christhardt Köhler, Holger Krauel, Achim Schneider |
Journal | Fertility and sterility
(Fertil Steril)
Vol. 87
Issue 5
Pg. 1212.e13-6
(May 2007)
ISSN: 1556-5653 [Electronic] United States |
PMID | 17196591
(Publication Type: Case Reports, Journal Article)
|
Chemical References |
|
Topics |
- Adult
- Alloys
(administration & dosage)
- Cervix Uteri
(drug effects, pathology)
- Constriction, Pathologic
(drug therapy, pathology)
- Female
- Fertility
(drug effects)
- Hematometra
(drug therapy, pathology)
- Humans
- Infertility, Female
(prevention & control)
- Recurrence
- Stents
- Uterine Cervical Diseases
(drug therapy, pathology)
|