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

Schaible Burk | Zendy; Haught Erica | Zendy; Vozar Amber | Zendy; Riggs Kassandra | Zendy; Calhoun Byron | Zendy; Bush Stephen | Zendy

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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

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.

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