Abstract
We present a case of large uterine cervical edema following cerclage during pregnancy.
Keywords: cerclage, circulatory disturbance, edema, uterine cervix
Circulatory disturbance accompanied by inflammatory edema of the cervical canal will occur in the uterine cervix with cerclage.
A 31‐year‐old woman visited with a feeling of uterine contraction and discomfort in the vulva at 31 weeks of pregnancy. She underwent cervical cerclage at 14 weeks of gestation because she had a history of premature labor at 33 weeks of pregnancy. No abnormalities were found in the uterine cervix at the time of cerclage. Her antenatal course until 30 weeks of gestation had been unremarkable. The painful swollen and enlarged uterine cervix protruded into the vulva (Figure 1), and a tightly tied suture of the cervix could be seen in the vagina (Figure 2). After removing the suture, the cervical edema improved within a few days. A healthy girl was delivered at 37 weeks of gestation.
FIGURE 1.
Swollen and enlarged uterine cervix protruded into the vulva
FIGURE 2.
A tightly tied suture of the cervix seen in the vagina
In this case, we cannot deny the possibility of acute edema resulting from transient acute prolapsus of the pregnant uterus 1 ; however, the circulatory disturbance accompanied by inflammatory edema of the cervical canal where cerclage had been performed might have occurred due to uterine contraction and pressure caused by the fetal head. There may be no definite way to prevent this sudden‐onset episode; however, almost continuous bed rest may be the most effective method.
CONFLICT OF INTEREST
All authors declare no conflict of interest relevant to this article.
AUTHOR CONTRIBUTIONS
TF and NY (primary doctors) analyzed the data and wrote the manuscript. SS formulated the concept of the study, analyzed the data, and drafted the manuscript.
ETHICAL APPROVAL
Written informed consent was obtained from the patient to publish this report in accordance with the journal's patient consent policy.
CONSENT
Written informed consent was obtained from the patient.
ACKNOWLEDGEMENT
None.
Fukami T, Yokoyama N, Suzuki S. Uterine cervical edema following cerclage. Clin Case Rep. 2022;10:e05670. doi: 10.1002/ccr3.5670
Funding information
Our work was not funded by anyone
DATA AVAILABILITY STATEMENT
The authors declare that the supporting data for this case are presented within the manuscript.
REFERENCES
- 1. Seeley WF. Acute edema of the cervix in pregnancy and labor. Am J Obstet Gynecol. 1937;33:631‐636. [Google Scholar]
Associated Data
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Data Availability Statement
The authors declare that the supporting data for this case are presented within the manuscript.