ABSTRACT
Background
Abdominal cerclage is indicated for some women with cervical insufficiency. Long-term
complications from cerclage are rare.
Case
Here we report the case of a patient who presented with recurrent urinary tract infection
and hematuria 5 years after laparoscopic abdominal cerclage. Cystoscopy revealed bladder
stones surrounding a foreign body. Another cystoscopy 3 months later showed complete
erosion of the cerclage into the bladder.
Conclusion
This case reminds us that differential diagnosis of urinary symptoms in women who
have undergone cervical cerclage should include suture erosion into the bladder. Cerclage
removal can be offered to women who have completed childbearing to prevent this rare
complication.
RÉSUMÉ
Contexte
Le cerclage abdominal est indiqué chez certaines femmes atteintes d'incompétence du
col. Les complications à long terme du cerclage sont rares.
Cas
Nous présentons ici le cas d'une patiente atteinte d'une infection urinaire récidivante
et d'hématurie 5 ans après un cerclage abdominal laparoscopique. La cystoscopie a
révélé la présence de calculs vésicaux autour d'un corps étranger. Une autre cystoscopie
effectuée 3 mois plus tard a révélé une érosion complète du cerclage dans la vessie.
Conclusion
Ce cas nous rappelle que le diagnostic différentiel des symptômes urinaires chez les
femmes qui ont subi un cerclage du col doit comprendre l’érosion de sutures dans la
vessie. Il est possible d'offrir le retrait du cerclage aux femmes n'ayant plus de
désir de grossesse afin de prévenir cette rare complication.
Keywords
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References
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Article info
Publication history
Published online: April 16, 2021
Footnotes
Disclosures: Dr. Tulandi is an ad hoc advisor for AbbVie. Dr. Eiley, Dr. Abenhaim, and Dr. Ziegler declare no conflict of interest.
All authors have indicated that they meet the journal's requirements for authorship.
Identification
Copyright
© 2021 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
