Hematometra after type III excision (conization) by loop electrosurgical excision procedure in the treatment of cervical intraepithelial neoplasia grade III
DOI:
https://doi.org/10.5327/JBG-2965-3711-2024134111Keywords:
hematometra, conization, electrosurgeryAbstract
We report a case of hematometra secondary to occlusion of the cervical canal, after type III excision (conization) by loop electrosurgical excision procedure (LEEP) in a 27-year-old patient with cervical intraepithelial neoplasia grade III. Treatment consisted of surgical opening of the external orifice of the uterine cervix, spontaneous drainage of the contents of the uterine cavity and insertion of a cooper intrauterine device, with the aim of trying to avoid further obliteration of the endocervical canal.
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Gupta S, Ambatkar Sr V, Kotdawala Jr K. A rare case of recurrent hematometra of unknown etiology. Cureus. 2022;14(9):e29217. https://doi.org/10.7759/cureus.29217
Tsatsaris G, Fasoulakis Z, Papapanagiotou I, Theodora M, Kontomanolis EN. A rare case of massive hematometra with a tubo-ovarian abscess in a 16-year-old female. Cureus. 2019;11(6):e4845. https://doi.org/10.7759/cureus.4845
Grund D, Köhler C, Krauel H, Schneider A. A new approach to preserve fertility by using a coated nitinol stent in a patient with recurrent cervical stenosis. Fertil Steril. 2007;87(5):1212.e13-6. https://doi.org/10.1016/j.fertnstert.2006.10.008
Monteiro AC, Russomano FB, Camargo MJ, Silva KS, Veiga FR, Oliveira RG. Cervical stenosis following electrosurgical conization. Sao Paulo Med J. 2008;126(4):209-14. https://doi.org/10.1590/s1516-31802008000400002
Li X, Li J, Wu X. Incidence, risk factors and treatment of cervical stenosis after radical trachelectomy: a systematic review. Eur J Cancer. 2015;51(13):1751-9. https://doi.org/10.1016/j.ejca.2015.05.012
Rezai S, Lieberman D, Caton K, Semple S, Henderson CE. Hematometra and hematocolpos, secondary to cervical canal occlusion, a case report and review of literature. Obstet Gynecol Int J. 2017;6(3):67-70. https://doi.org/10.15406/ogij.2017.06.00208
Vieira MA, Araújo RLC, Andrade CEMC, Schmidt RL, Lopes Filho A, Reis R. A randomized clinical trial of a new anti-cervical stenosis device after conization by loop electrosurgical excision. PLoS One. 2021;16(1):e0242067. https://doi.org/10.1371/journal.pone.0242067
Motegi E, Hasegawa K, Kawai S, Kiuchi K, Kosaka N, Mochizuki Y, et al. Levonorgestrel-releasing intrauterine system placement for severe uterine cervical stenosis after conization: two case reports. J Med Case Rep. 2016;10:56. https://doi.org/10.1186/s13256-016-0831-9
Al-Ghazawi M, Saad M, Salameh H. Hematometra caused by chronic lichen planus in a patient mimicking acute urinary retention: a case report. Cureus. 2023;15(9):e44736. https://doi.org/10.7759/cureus.44736
Sampson CS, Arnold K. A full uterus: hematometra from cervical scarring. Clin Pract Cases Emerg Med. 2020;4(1):88-9. https://doi.org/10.5811/cpcem.2019.10.44925
Lin YH, Hwang JL, Huang LW, Seow KM, Chen HJ, Tzeng CR. Efficacy of hysteroscopic cervical resection for cervical stenosis. J Minim Invasive Gynecol. 2013;20(6):836-41. https://doi.org/10.1016/j.jmig.2013.04.026
Nasu K, Narahara H. Management of severe cervical stenosis after conization by detention of nylon threads tied up to intrauterine contraceptive device. Arch Gynecol Obstet. 2010;281(5):887-9. https://doi.org/10.1007/s00404-009-1205-y
Lin J, Meng Y, Chen Y, Li Z, Xu Y, Wu D. A new approach to prevent cervical stenosis in postmenopausal women after loop electrosurgical excision procedure: a randomized controlled trial. Sci Rep. 2020;10(1):8512. https://doi.org/10.1038/s41598-020-65170-2