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Partial annular cervical tear: A case report.

Leah Mayne^1,2, Anusha Sudhahar¹, Mayooran Veerasingham^1,3

¹Department of Obstetrics and Gynaecology, Ipswich Hospital, Ipswich, Queensland, Australia.

Case Reports in Women'S Health

|May 24, 2021

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This case report details a rare intrapartum annular cervical tear. Management involved surgical repair, with recommendations for future pregnancies including cervical length screening and potential cerclage or C-section.

Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine
Surgical Case Reports

Background:

Intrapartum annular cervical tears are infrequent obstetric complications.
The underlying mechanisms and optimal management strategies for these tears are not well-established.
Future pregnancy implications following such tears remain largely unknown.

Observation:

A 35-year-old nulliparous woman experienced a partial annular cervical tear after labor induction.
Complications included intrapartum fever, prolonged induction, and antepartum hemorrhage.
A cervical tissue band was visible at the introitus during the second stage of labor.

Findings:

A 2 cm thick by 5 cm long cervical tissue portion was avulsed following vaginal delivery.

Keywords:

Annular tear Case report Cervical avulsion Cervical laceration Cervical tear

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Surgical repair of the cervical tear was performed successfully.

Postnatal recovery was uneventful, with good cervical healing observed at 6 weeks postpartum.

Implications:

This is the first reported case of a partial annular cervical tear presenting in this specific manner.
Prenatal ultrasound for cervical length screening is recommended for at-risk pregnancies.
Consideration of cervical cerclage or elective cesarean section may prevent preterm birth and recurrence.