Laparotomy and Cephalo-caudal Cervical Dilatation and Stenting for Severe Cervical Stenosis: A Case Report
Chidinma Magnus Nwogu *
Kingswill Specialist Hospital, Lagos, Nigeria.
Ayodeji Kayode Adefemi
Lagos State University Teaching Hospital, Ikeja, Nigeria.
Aloy Okechukwu Ugwu
68 Nigerian Army Reference Hospital, Yaba, Lagos, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Cervical stenosis can be congenital or acquired. Acquired causes could be through obliteration by mass effect or iatrogenically following cervical surgeries or more importantly in the tropics by cephalad extension of severe acquired gynaetresia induced by per vagina insertion of various corrosive agents for treatment of gynaecological ailments or for postpartum vaginal tightening. This is a case report of severe cervical occlusion as part of severe acquired gynaetresia with non-visualization of the cervix even after vaginal reconstructive surgery presenting with amenorrhoea. Oral contraceptive pills induced cryptomenorrhea with pelvic ultrasound demonstrating haematometra. She had laparotomy and utero-cervical canulation/stenting to allow for fertility treatment.
Keywords: Cervical stenosis, gynaetresia, laparotomy, retrograde uterocervical cannulation/stenting