Treatment of hematotrachelos after dilatation and curettage. A case report.
BACKGROUND
Hematotrachelos, accumulation of menstrual blood in a dilated cervix, is a rare disorder accompanying cervical stenosis. In this report, hematotrachelos was diagnosed by vaginal sonography and treated in a novel way.


METHODS
A 39-year-old woman with progressive hypomenorrhea following dilation and curettage for dysfunctional uterine bleeding was diagnosed with hematotrachelos using vaginal sonography. Cervical dilatation and evacuation of the hematotrachelos were performed. A latex nasopharyngeal airway was utilized as a temporary stent and allowed drainage and maintained cervical patency. Normal menstrual flow was resumed, and the hematotrachelos did not recur.


CONCLUSIONS
Hematotrachelos may be a rare complication of routine dilatation and curettage. The diagnosis is confirmed by transvaginal sonography. Treatment is successful with cervical dilatation and placement of a temporary latex nasopharyngeal airway.
Witt
B R
BR
Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA. bwitt@aecom.yu.edu
D000328:Adult; D003251:Constriction, Pathologic / Q000150:complications / Q000601:surgery; D004107:Dilatation and Curettage / Q000009:adverse effects; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D015607:Stents; D014463:Ultrasonography; D002577:Uterine Cervical Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*