The management of an early-missed abortion after radical trachelectomy--a case report and a review of the literature.
Radical trachelectomy (RT) has been reported for almost 20 years. This case report describes and addresses the issue of the clinical management of early-missed abortion in a patient after RT with a cerclage.


METHODS
A 35-year-old woman who had a RT 2 years ago due to cervical carcinoma stage IB1 presented with a missed abortion of an 8-week gestational age. At the end of the RT, a cerclage suture was inserted in the remaining internal oss of the cervix. The patient went through a cervical dilatation followed by suction curettage guided by ultrasonography without compromising the cerclage. This case report suggests that dilatation and suction curettage without compromising the cervical cerclage is a feasible option in the clinical management of early abortion in a patient after RT.
Lavie
O
O
Department of Obstetrics & Gynecology, Gynecologic Oncology Division, Carmel Medical Center, Affiliated with Technion Institute of Technology, Faculty of Medicine, Haifa, Israel.
Peer
G
G
Sagi
S
S
Ben Arie
A
A
Auslender
R
R
D000030:Abortion, Missed / Q000209:etiology / Q000517:prevention & control*; D000328:Adult; D023802:Cerclage, Cervical; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D011256:Pregnancy Outcome; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy / Q000601:surgery*