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A Full Uterus: Hematometra from Cervical Scarring.
Christopher S Sampson1, Krysta Arnold1
1University of Missouri School of Medicine, Department of Emergency Medicine, Columbia, Missouri.
Clinical Practice and Cases in Emergency Medicine
|February 18, 2020
Summary
A scarred cervical os caused by a prior procedure led to hematometra, resulting in severe abdominal pain and absent menstruation. Prompt surgical intervention successfully relieved the patient's symptoms.
Area of Science:
- Gynecology
- Reproductive Medicine
Background:
- Cervical scarring can impede menstrual outflow.
- Hematometra, or blood trapped in the uterus, can cause significant pelvic pain.
Purpose of the Study:
- To report a case of hematometra secondary to cervical scarring.
- To highlight the diagnostic and management challenges.
Main Methods:
- Pelvic examination and ultrasound were used for diagnosis.
- Surgical incision of the cervix was performed for treatment.
Main Results:
- The patient presented with amenorrhea, abdominal pain, nausea, and vomiting.
- Pelvic ultrasound revealed an enlarged uterus with internal hemorrhage.
- Cervical os was found to be scarred and closed.
Conclusions:
- Hematometra due to cervical stenosis is a potential complication after procedures like loop electrosurgical excision.
- Prompt diagnosis and surgical intervention are crucial for symptom relief.
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