Spontaneous uterine rupture secondary to recurrent haematometra from cervical stenosis.
Cervical stenosis is a challenging condition that often recurs despite intervention. Multiple therapeutic options have been described, but a clearly effective and reliable treatment method has yet to be identified. Patients with recurrent stenosis are at risk of developing severe complications such as chronic pelvic pain and infertility. We describe a case of congenital cervical stenosis with secondary haematometra in which repeated cervical dilatation, hysteroscopic canalisation and administration of medications to retard endometrial development were unsuccessful in relieving the obstruction and preventing re-accumulation of menstrual blood. Total hysterectomy was eventually mandated by spontaneous rupture of the haematometra.
Department of Obstetrics and Gynaecology, Singapore General Hospital, Outram Road, Singapore 169608. liying.yang@mohh.com.sg
Liying
L
Yang
Devendra
D
Kanagalingam
D000328:Adult; D003251:Constriction, Pathologic / Q000150:complications / Q000175:diagnosis; D004717:Endometrium / Q000473:pathology; D005260:Female; D006409:Hematometra / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007246:Infertility; D017699:Pelvic Pain; D012008:Recurrence; D012306:Risk; D012422:Rupture, Spontaneous / Q000150:complications; D014057:Tomography, X-Ray Computed; D002577:Uterine Cervical Diseases / Q000150:complications* / Q000175:diagnosis*; D014591:Uterine Diseases / Q000150:complications / Q000175:diagnosis; D014592:Uterine Hemorrhage / Q000150:complications / Q000175:diagnosis; D014597:Uterine Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery