Cervicovaginal fistula formation: a new complication of Shirodkar cerclage.
In this article, cervicovaginal fistula formation is reported for the first time as a complication of failure to remove a cervical cerclage during labor. Along with the available literature, the case presented here suggests the value of timely removal of a cerclage in the face of strong uterine contractions. Should cervical laceration/rupture occur, immediate repair should be attempted. If chronic cervicovaginal fistula occurs, preterm delivery through the defect and frank uterine rupture are risks with succeeding pregnancies.
D000328:Adult; D002584:Cervix Uteri / Q000601:surgery; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008722:Methods; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology; D002577:Uterine Cervical Diseases / Q000209:etiology*; D002581:Uterine Cervical Incompetence / Q000601:surgery*; D014624:Vaginal Fistula / Q000209:etiology*