Vesicovaginal fistula formation after cervical cerclage mimicking premature rupture of membranes.

Abstract:

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.

journal_name

Obstet Gynecol

authors

Wall LL,Khan F,Adams S

doi

10.1097/01.AOG.0000247291.00155.88

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

493-4

issue

2 Pt2

eissn

0029-7844

issn

1873-233X

pii

109/2/493

journal_volume

109

pub_type

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