Erosive stitches of cervical cerclage as a factor of abnormal uterine bleeding: A report of two cases

Taiwan J Obstet Gynecol. 2024 Nov;63(6):941-943. doi: 10.1016/j.tjog.2024.08.003.

Abstract

Objective: Abnormal uterine bleeding (AUB) is a prevalent condition in reproductive-aged women that significantly decreases the quality of life. A thorough history is necessary to determine the causes of AUB, which were categorized by the AUB System 2 (PALM-COEIN). AUB has been associated with retained intrauterine objects. However, studies regarding AUB caused by retained stitches of the cervical cerclage were limited.

Case report: We present two cases of AUB caused by retained stitches of the cervical cerclage. Both cases were successfully treated by removing the retained stitches by hysteroscopy.

Conclusion: A comprehensive history is crucial to AUB evaluation, especially a previous history of iatrogenic processes, such as intrauterine device placement, retained cerclage stitches, or other foreign bodies.

Keywords: Abnormal uterine bleeding; Cervical cerclage; Foreign body; Hysteroscopy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerclage, Cervical* / adverse effects
  • Cerclage, Cervical* / methods
  • Female
  • Foreign Bodies / complications
  • Foreign Bodies / surgery
  • Humans
  • Hysteroscopy* / methods
  • Pregnancy
  • Uterine Hemorrhage* / etiology
  • Uterine Hemorrhage* / surgery