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Correspondence and Brief Reports
The management of an early-missed abortion after radical trachelectomy—a case report and a review of the literature
  1. O. Lavie,
  2. G. Peer,
  3. S. Sagi,
  4. A. Ben Arie and
  5. R. Auslender
  1. Department of Obstetrics & Gynecology, Gynecologic Oncology Division, Carmel Medical Center, Affiliated with Technion Institute of Technology, Faculty of Medicine, Haifa, Israel
  1. Address correspondence and reprint requests to: Gil Peer, MD, Department of Obstetrics and Gynecology, Carmel Medical Center, 7 Michal Street, Haifa, 34362 Israel. Email: peergil{at}gmail.com

Abstract

Radical trachelectomy (RT) has been reported for almost 20 years. This case report describes and addresses the issue of the clinical management of early-missed abortion in a patient after RT with a cerclage. Case: A 35-year-old woman who had a RT 2 years ago due to cervical carcinoma stage IB1 presented with a missed abortion of an 8-week gestational age. At the end of the RT, a cerclage suture was inserted in the remaining internal oss of the cervix. The patient went through a cervical dilatation followed by suction curettage guided by ultrasonography without compromising the cerclage. This case report suggests that dilatation and suction curettage without compromising the cervical cerclage is a feasible option in the clinical management of early abortion in a patient after RT.

  • cervical carcinoma
  • cerclage
  • cervix
  • missed abortion
  • trachelectomy

https://doi.org/10.1136/ijgc-00009577-200607000-00031

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