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Double cervical ostia after large loop excision of transformation zone
Kalpana Ragupathy1, Franz Ndumbe
1Department of Obstetrics and Gynaecology, Scunthorpe General Hospital, Scunthorpe, United Kingdom. kalpanaraghu@yahoo.co.uk
Journal of Lower Genital Tract Disease
|February 4, 2012
Summary
Large loop excision of the transformation zone (LLETZ) can rarely cause a cervical septum, leading to a double cervical ostium. Surgical division corrected this rare complication, ensuring future cervical screening can proceed.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Large loop excision of the transformation zone (LLETZ) is a standard treatment for cervical intraepithelial neoplasia.
- Cervical intraepithelial neoplasia requires prompt management to prevent progression to invasive cervical cancer.
Observation:
- A rare case of cervical septum formation occurred following LLETZ.
- The complication presented as a double cervical ostium during follow-up examination.
Findings:
- Surgical division of the cervical septum successfully restored a single cervical ostium.
- This intervention facilitated the resumption of routine cervical smear testing and follow-up.
Implications:
- Highlights a rare but manageable complication of LLETZ.
- Informs clinicians about the potential for cervical septum formation and its surgical management.
- Emphasizes the importance of vigilant follow-up after LLETZ procedures.