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Partial annular cervical tear: A case report.

Leah Mayne1,2, Anusha Sudhahar1, Mayooran Veerasingham1,3

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

Case Reports in Women'S Health
|May 24, 2021
PubMed
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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 tearCase reportCervical avulsionCervical lacerationCervical 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.