Cervicovaginal Fistula Formation: A New Complication of Shirodkar Cerclage

Andrew Berchuck; Robert J. Sokol

doi:10.1055/s-2007-1000016

American Journal of Perinatology, Table of Contents

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

ORIGINAL ARTICLE

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

Abstract

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.

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