| Vesicovaginal fistula formation after cervical cerclage mimicking premature rupture of membranes. | |
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MedLine Citation:
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PMID: 17267870 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Women with a history of pregnancy loss in the second trimester are often diagnosed with cervical insufficiency and are treated with cervical cerclage. We present an unusual complication of this procedure that mimicked preterm rupture of membranes. CASE: A 38-year-old woman with a history of cervical conization, loss of a triplet pregnancy at 22 weeks, and one early spontaneous abortion underwent cervical cerclage placement during her third pregnancy. She developed an intermittent vesicovaginal fistula 2 weeks after the procedure that mimicked preterm premature rupture of membranes. Only after the urine loss became heavy and continuous 10 weeks later was the diagnosis of vesicovaginal fistula made. CONCLUSION: Obstetricians should recognize that cerclage placement may result in unusual urinary tract injury. |
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Authors:
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L Lewis Wall; Fareesa Khan; Stephanie Adams |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 109 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2007 Feb |
Date Detail:
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Created Date: 2007-02-01 Completed Date: 2007-02-20 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 493-4 Citation Subset: AIM; IM |
Affiliation:
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Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Washington University in St. Louis, Missouri 63110, USA. WALLL@wustl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerclage, Cervical / adverse effects* Cesarean Section Diagnosis, Differential Female Fetal Membranes, Premature Rupture / diagnosis Humans Obstetric Labor, Premature / prevention & control* Pregnancy Pregnancy Trimester, Third Prenatal Diagnosis* Surgical Tape / adverse effects* Vesicovaginal Fistula / diagnosis*, etiology, pathology |
| Comments/Corrections | |
Comment In:
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Obstet Gynecol. 2007 Feb;109(2 Pt2):481-2
[PMID:
17267865
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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