title: The management of an early-missed abortion after radical trachelectomy--a case report and a review of the literature.
abstract: 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.
authors.affiliation: Department of Obstetrics & Gynecology, Gynecologic Oncology Division, Carmel Medical Center, Affiliated with Technion Institute of Technology, Faculty of Medicine, Haifa, Israel.
authors.forename: O
authors.initials: O
authors.lastname: Lavie
authors.forename: G
authors.initials: G
authors.lastname: Peer
authors.forename: S
authors.initials: S
authors.lastname: Sagi
authors.forename: A
authors.initials: A
authors.lastname: Ben Arie
authors.forename: R
authors.initials: R
authors.lastname: Auslender
mesh_terms: 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*