Spontaneous uterine rupture secondary to recurrent haematometra from cervical stenosis.

In: Singapore medical journal · 2012 · vol. 53(6) , pp. e114–6 · PMID:22711046 · W151701734
article OA: closed CC0 ⤵ 2 in-corpus citations
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This case report details recurrent congenital cervical stenosis causing haematometra, which ultimately led to uterine rupture despite multiple interventions, necessitating a total hysterectomy.

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Abstract

Cervical stenosis is a challenging condition that often recurs despite intervention. Multiple therapeutic options have been described, but a clearly effective and reliable treatment method has yet to be identified. Patients with recurrent stenosis are at risk of developing severe complications such as chronic pelvic pain and infertility. We describe a case of congenital cervical stenosis with secondary haematometra in which repeated cervical dilatation, hysteroscopic canalisation and administration of medications to retard endometrial development were unsuccessful in relieving the obstruction and preventing re-accumulation of menstrual blood. Total hysterectomy was eventually mandated by spontaneous rupture of the haematometra.

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chronic_pelvic_paininfertility

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last seen: 2026-06-10T17:14:06.276822+00:00
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