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Local dynamic changes of the cervix associated with incompetent cervix before and after Shirodkar's operation
Author(s) -
Kikuchi Akihiko,
Kozuma Shiro,
Marumo Genzo,
Machida Yoshiya,
Yano Tetsu,
Taketani Yuji
Publication year - 1998
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199809)26:7<371::aid-jcu9>3.0.co;2-6
Subject(s) - medicine , cervix , obstetrics , gynecology , cancer
A 31‐year‐old woman, gravida 2 para 1, visited our clinic for routine follow‐up at 20 weeks' gestation. Although she had no abdominal pain or pressure, digital vaginal examination revealed dilatation of the internal cervical os of 1.5 cm, and transvaginal sonography demonstrated dynamic changes in the shape of the cervical canal. The patient underwent Shirodkar's operation. Routine postoperative assessment of the cervix with transvaginal sonography showed dynamic dilatation of the upper cervix (above the cerclage), which was accompanied by a sensation of pelvic pressure but no apparent uterine contractions. A healthy male infant weighing 2,980 g was delivered at 38 weeks' gestation. © 1998 John Wiley & Sons, Inc. J Clin Ultrasound 26:371–373, 1998.