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Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: A case report

Uterine cervical diverticulum is a very rare malformation. Affected patients are reported to have infertility issues and problems during the perinatal period. A 32‐year‐old nulliparous woman visited another obstetrics and gynecology hospital because of infertility. A cyst branching out from the uter...

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Autores principales: Tanaka, Keiko, Shiga, Naomi, Kuno, Takashi, Watanabe, Zen, Tachibana, Masahito, Yaegashi, Nobuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7496546/
https://www.ncbi.nlm.nih.gov/pubmed/32281196
http://dx.doi.org/10.1111/jog.14255
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author Tanaka, Keiko
Shiga, Naomi
Kuno, Takashi
Watanabe, Zen
Tachibana, Masahito
Yaegashi, Nobuo
author_facet Tanaka, Keiko
Shiga, Naomi
Kuno, Takashi
Watanabe, Zen
Tachibana, Masahito
Yaegashi, Nobuo
author_sort Tanaka, Keiko
collection PubMed
description Uterine cervical diverticulum is a very rare malformation. Affected patients are reported to have infertility issues and problems during the perinatal period. A 32‐year‐old nulliparous woman visited another obstetrics and gynecology hospital because of infertility. A cyst branching out from the uterine cervix was discovered. Subsequently, she conceived via assisted reproductive technology, but the uterine cyst was left untreated. Eventually, the pregnancy was terminated due to an enlarged uterine cyst and several birth defects. She was referred to our hospital where she was diagnosed with a uterine cervical diverticulum. We excised the diverticulum via a laparoscopic approach. Afterward, she became pregnant and delivered a baby vaginally at 37 weeks. To our knowledge, this is the first report of successful delivery after laparoscopic diverticulum excision. We recommend cervical diverticulum excision before pregnancy because of the potential adverse events associated with cervical diverticulum during pregnancy.
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spelling pubmed-74965462020-09-25 Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: A case report Tanaka, Keiko Shiga, Naomi Kuno, Takashi Watanabe, Zen Tachibana, Masahito Yaegashi, Nobuo J Obstet Gynaecol Res Case Reports Uterine cervical diverticulum is a very rare malformation. Affected patients are reported to have infertility issues and problems during the perinatal period. A 32‐year‐old nulliparous woman visited another obstetrics and gynecology hospital because of infertility. A cyst branching out from the uterine cervix was discovered. Subsequently, she conceived via assisted reproductive technology, but the uterine cyst was left untreated. Eventually, the pregnancy was terminated due to an enlarged uterine cyst and several birth defects. She was referred to our hospital where she was diagnosed with a uterine cervical diverticulum. We excised the diverticulum via a laparoscopic approach. Afterward, she became pregnant and delivered a baby vaginally at 37 weeks. To our knowledge, this is the first report of successful delivery after laparoscopic diverticulum excision. We recommend cervical diverticulum excision before pregnancy because of the potential adverse events associated with cervical diverticulum during pregnancy. John Wiley & Sons Australia, Ltd 2020-04-12 2020-08 /pmc/articles/PMC7496546/ /pubmed/32281196 http://dx.doi.org/10.1111/jog.14255 Text en © 2020 The Authors. Journal of Obstetrics and Gynaecology Research published by John Wiley & Sons Australia, Ltd on behalf of Japan Society of Obstetrics and Gynecology This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Tanaka, Keiko
Shiga, Naomi
Kuno, Takashi
Watanabe, Zen
Tachibana, Masahito
Yaegashi, Nobuo
Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: A case report
title Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: A case report
title_full Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: A case report
title_fullStr Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: A case report
title_full_unstemmed Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: A case report
title_short Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: A case report
title_sort successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7496546/
https://www.ncbi.nlm.nih.gov/pubmed/32281196
http://dx.doi.org/10.1111/jog.14255
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