Occlusion of the external cervical os after conization in a postpuerperal amenorrheic woman.
BACKGROUND
Complete occlusion of the cervical canal following conization is an uncommon complication.


METHODS
We encountered a case in a woman with lactation amenorrhea who after conization to treat cervical intraepithelial neoplasia (CIN) 3 developed hematometra and did not resume menstruation. This case was diagnosed early by ultrasonic tomography and magnetic resonance imaging (MRI).


CONCLUSIONS
Postpuerperal amenorrheic women should be managed with care because of the increased risk of occlusion of the cervical duct after conization.
Hirai
Kouzo
K
Department of Obstetrics and Gynecology, Osaka City University Medical School, 1-4-3, Asahimachi, Abeno-ku, Osaka 545-8585, Japan. hiraik@med.osaka-cu.ac.jp
Kanaoka
Yasushi
Y
Sumi
Toshiyuki
T
Yasui
Tomoyo
T
Nakai
Yuichiro
Y
Nishio
Junko
J
Yamamasu
Seiichi
S
Ishiko
Osamu
O
D000328:Adult; D000568:Amenorrhea / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D019092:Conization / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006409:Hematometra / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D011644:Puerperal Disorders / Q000601:surgery*; D014463:Ultrasonography; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D002578:Uterine Cervical Dysplasia / Q000601:surgery*