Laparotomy and Cephalo-caudal Cervical Dilatation and Stenting for Severe Cervical Stenosis:  A Case Report

Chidinma Magnus Nwogu; Ayodeji Kayode Adefemi; Aloy Okechukwu Ugwu

doi:10.9734/ajcrs/2024/v7i2554

Research Article Open access CC BY 4.0

Laparotomy and Cephalo-caudal Cervical Dilatation and Stenting for Severe Cervical Stenosis: A Case Report

Chidinma Magnus Nwogu, Ayodeji Kayode Adefemi, Aloy Okechukwu Ugwu

Asian Journal of Case Reports in Surgery · pp. 383–387 · Published 22 Jul 2024

10.9734/ajcrs/2024/v7i2554

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.

Cervical stenosis gynaetresia laparotomy retrograde uterocervical cannulation/stenting

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Chidinma Magnus Nwogu, Ayodeji Kayode Adefemi, Aloy Okechukwu Ugwu (2024). Laparotomy and Cephalo-caudal Cervical Dilatation and Stenting for Severe Cervical Stenosis: A Case Report. Asian Journal of Case Reports in Surgery , 383–387. https://doi.org/10.9734/ajcrs/2024/v7i2554

Affiliations

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.

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