Please use this identifier to cite or link to this item:
Title: Iatrogenic endometriosis due to isthmic stenosis post-trachelectomy.
Epworth Authors: Nanayakkara, Pavitra
Ades, Alex
Keywords: Cancer
Reproductive Medicine
Transabdominal Cerclage
Isthmic Stenosis
Women's and Children's Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Feb-2020
Publisher: British Medical Journal
Citation: BMJ Case Rep. 2020 Feb 16;13(2):e233579
Abstract: A nulliparous 42-year-old woman presented for a prophylactic prepregnancy laparoscopic transabdominal cerclage (suture around the cervicoisthmic junction to prevent pregnancy loss due to cervical insufficiency) after having undergone a trachelectomy for stage IA cervical cancer 10 years ago. The patient had a laparoscopy for investigation of pelvic pain a couple of years before the trachelectomy. Mild superficial endometriosis was reported and treated at the time. She had been having regular menstrual cycles until the trachelectomy and became permanently amenorrhoeic postsurgery. Blood tests done prior to the procedure showed normal ovarian and thyroid functions. She did not undergo chemotherapy or radiotherapy that could have contributed to reduction in ovarian activity and hence cessation of menses. She has recently started In-vitro fertilisation (IVF) treatment for infertility attributed to anatomical factors (stenosed cervix). All hormonal investigations came back within normal range, again confirming adequate ovarian function. There was no transvaginal access to the endometrial cavity due to cervical stenosis.
DOI: 10.1136/bcr-2019-233579
PubMed URL:
ISSN: 1757-790X
Journal Title: BMJ Case Reports
Type: Journal Article
Affiliated Organisations: Department of Obstetrics and Gynaecology, Royal Women's Hospital, Parkville, Victoria, Australia.
Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia.
Type of Clinical Study or Trial: Case Reports
Appears in Collections:Women's and Children's

Files in This Item:
File Description SizeFormat  
Iatrogenic endometriosis due to isthmic stenosis posttrachelectomy.pdf469.91 kBAdobe PDFThumbnail

Items in Epworth are protected by copyright, with all rights reserved, unless otherwise indicated.