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Occlusion of the external cervical os after conization in a postpuerperal amenorrheic woman
Kouzo Hirai1, Yasushi Kanaoka, Toshiyuki Sumi
1Department of Obstetrics and Gynecology, Osaka City University Medical School, 1-4-3, Asahimachi, Abeno-ku, Osaka 545-8585, Japan. hiraik@med.osaka-cu.ac.jp
Introduction:
Complete occlusion of the cervical canal following conization is an uncommon complication.
Case Report:
We encountered a case in a woman with lactation amenorrhea who after conization to treat cervical intraepithelial neoplasia (CIN) 3 developed hematometra and did not resume menstruation. This case was diagnosed early by ultrasonic tomography and magnetic resonance imaging (MRI).
Conclusion:
Postpuerperal amenorrheic women should be managed with care because of the increased risk of occlusion of the cervical duct after conization.
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