Extreme cervical elongation after sacrohysteropexy.
We present a case of extreme cervical elongation with a cervix of 12 cm after an unusual operation in which the uterine corpus was directly fixed to the promontory, and which became symptomatic after 8 years. The possible pathophysiology of cervical elongation is discussed. Diagnosing a case of severe cervical elongation can be important in the pre-operative evaluation. It can alter the operative plan to a uterus-sparing technique or it can alert the surgeon to a difficult entry in the abdominal cavity during vaginal hysterectomy.
Department of Obstetrics and Gynaecology, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. M.Vierhout@obgyn.umcn.nl
Mark E
ME
Vierhout
Jurgen J
JJ
Fütterer
D000368:Aged; D002584:Cervix Uteri / Q000473:pathology* / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008279:Magnetic Resonance Imaging; D056887:Pelvic Organ Prolapse / Q000209:etiology; D013526:Surgical Mesh; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014599:Uterus / Q000473:pathology / Q000601:surgery*