Double cervical ostia after large loop excision of transformation zone.
BACKGROUND
Large loop excision of the transformation zone (LLETZ) is the preferred treatment modality among colposcopists for cervical intraepithelial neoplasia. We report a unique case of cervical septum after LLETZ and the subsequent management.


METHODS
Large loop excision of the transformation zone was performed on a young woman for a severely dyskaryotic cervical smear and colposcopic impression of high-grade abnormality. At her 6-month follow-up, double cervical ostium was seen resulting from cervical septum formation. This was surgically divided to enable a single cervical ostium for future smear taking and follow-up.


CONCLUSIONS
This case report is to make clinicians aware of a rare complication such as double cervical ostium after LLETZ and its management.
Department of Obstetrics and Gynaecology, Scunthorpe General Hospital, Scunthorpe, United Kingdom. kalpanaraghu@yahoo.co.uk
Kalpana
K
Ragupathy
Franz
F
Ndumbe
D000328:Adult; D001707:Biopsy, Needle; D002584:Cervix Uteri / Q000473:pathology* / Q000601:surgery; D002921:Cicatrix / Q000209:etiology / Q000473:pathology / Q000601:surgery; D003127:Colposcopy / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods; D015907:Hysteroscopy / Q000379:methods; D007150:Immunohistochemistry; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery; D011230:Precancerous Conditions / Q000473:pathology / Q000601:surgery; D018570:Risk Assessment; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*; D014626:Vaginal Smears / Q000379:methods; D002578:Uterine Cervical Dysplasia / Q000473:pathology* / Q000601:surgery*