Premium
Abdominal cerclage in a patient with a neocervix with planned cesarean hysterectomy at delivery
Author(s) -
Schaible Burk,
Haught Erica,
Vozar Amber,
Riggs Kassandra,
Calhoun Byron,
Bush Stephen,
Bush Stephen
Publication year - 2021
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14525
Subject(s) - medicine , unicornuate uterus , cesarean delivery , pregnancy , obstetrics , obstetrics and gynaecology , cervix , lower abdominal pain , gynecology , surgery , uterus , cancer , biology , genetics
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.