Cervical Recanalization in the Setting of Complete Cervical Stenosis with Hematometra, a Case Report
Tamara Lalovic*, Rahul Yerrabelli and Angel Marquez
ABSTRACT
When counseling patients prior to a cold knife cone biopsy, one of the frequent side effects that patients are made aware of is cervical stenosis. Cervical stenosis can impact women at the time of childbirth but also every month during menses. Hematometra, or the accumulation of blood within the uterus, can occur due to cervical stenosis which may present as amenorrhea and pelvic pain. There is no official guideline on how to treat hematometra associated with cervical stenosis or how to recanalize a stenotic cervix. This case report presents a 34-year-old woman with significant cervical stenosis and hematometra after a cervical conization procedure. The cervical canal was successfully entered using a spinal needle under ultrasound guidance. The cervix was then able to be dilated using lacrimal and Pratt dilators. The patient was discharged with a 14Fr Foley catheter, placed within the cervical canal, and maintained for three weeks. Cervical recanalization was confirmed at the time of foley catheter removal.
