Treatment of hematotrachelos after dilatation and curettage. A case report

Hematotrachelos, accumulation of menstrual blood in a dilated cervix, is a rare disorder accompanying cervical stenosis. In this report, hematotrachelos was diagnosed by vaginal sonography and treated in a novel way.

A 39-year-old woman with progressive hypomenorrhea following dilation and curettage for dysfunctional uterine bleeding was diagnosed with hematotrachelos using vaginal sonography. Cervical dilatation and evacuation of the hematotrachelos were performed. A latex nasopharyngeal airway was utilized as a temporary stent and allowed drainage and maintained cervical patency. Normal menstrual flow was resumed, and the hematotrachelos did not recur.

Hematotrachelos may be a rare complication of routine dilatation and curettage. The diagnosis is confirmed by transvaginal sonography. Treatment is successful with cervical dilatation and placement of a temporary latex nasopharyngeal airway.