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Am J Perinatol 1984; 1(3): 263-265
DOI: 10.1055/s-2007-1000016
ORIGINAL ARTICLE

© 1984 by Thieme Medical Publishers, Inc.

Cervicovaginal Fistula Formation: A New Complication of Shirodkar Cerclage

Andrew Berchuck, Robert J. Sokol
  • Department of Obstetrics and Gynecology and the Perinatal Clinical Research Center, Cleveland Metropolitan General Hospital/Case Western Reserve University, Cleveland, Ohio
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Publication Date:
04 March 2008 (online)

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ABSTRACT

In this article, cervicovaginal fistula formation is reported for the first time as a complication of failure to remove a cervical cerclage during labor. Along with the available literature, the case presented here suggests the value of timely removal of a cerclage in the face of strong uterine contractions. Should cervical laceration/rupture occur, immediate repair should be attempted. If chronic cervicovaginal fistula occurs, preterm delivery through the defect and frank uterine rupture are risks with succeeding pregnancies.