| Cervicovaginal fistula presenting during miscarriage. | |
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MedLine Citation:
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PMID: 20131330 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cervicovaginal fistula is a recognized complication of induced mid-trimester termination of pregnancy, but more recently it has also been recognized as representing a complication of prior cervical cerclage. We report the ultrasound findings of prolapse of the amniotic sac through a cervicovaginal fistula in a woman with prior cervical cerclage. A woman with cervical incompetence and prior failed McDonald cerclage presented for prophylactic Shirodkar cerclage. Before the procedure, transvaginal ultrasonography revealed a live intrauterine pregnancy at 14 weeks' gestation. Upon further ultrasound examination, the amniotic sac appeared to protrude through the posterior wall of the cervix into the vaginal vault. Pelvic examination verified prolapse of the amniotic sac through a cervicovaginal fistula. The patient underwent an uncomplicated dilatation and evacuation. Women with a history of cervical cerclage are at risk for the development of cervicovaginal fistula, the detection of which is important to prevent potential morbidity. |
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Authors:
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C A Grotegut; N L Moore; K L Reddick; B J Canzoneri; B K Boyd; H L Brown |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology Volume: 36 ISSN: 1469-0705 ISO Abbreviation: Ultrasound Obstet Gynecol Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-01 Completed Date: 2010-12-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9108340 Medline TA: Ultrasound Obstet Gynecol Country: England |
Other Details:
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Languages: eng Pagination: 112-4 Citation Subset: IM |
Copyright Information:
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Copyright 2010 ISUOG. Published by John Wiley & Sons, Ltd. |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC 27710, USA. chad.grotegut@duke.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Spontaneous* Adult Cerclage, Cervical / adverse effects* Cervix Uteri / ultrasonography* Female Fistula / etiology, ultrasonography* Humans Pregnancy Pregnancy, High-Risk Vaginal Fistula / etiology, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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