Hematometra and Hematocolpos, Secondary to Cervical Canal Oc
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"Hematometra is an uncommon disorder that can be caused by congenital or acquired structural obstruction of the cervical canal. Acquired cervical stenosis can develop due to surgical procedures performed on the uterus or cervix. Common symptoms associated with this disorder include amenorrhea or dysmenorrhea in premenopausal women, pelvic pain or pressure, urinary frequency and retention. We report a case of hematometra and hematocolpos, secondary to cervical canal occlusion treated with ultrasound guided placement of lacrimal probe.

Case: A 41-year-old G1P1001, non-pregnant woman presented to our clinic in October 2015 with complaints of two months amenorrhea after gradual progressive pelvic pain, pelvic pressure and dysmenorrhea since 2014. She had a history of one normal spontaneous vaginal delivery and her surgical history was significant for a Loop Electrosurgical Excision Procedure (LEEP) in 2009 followed by a cold knife cone biopsy in 2014 for management of recurrent cervical dysplasia. Pelvic exam showed complete occlusion of cervical canal as well as a palpable boggy uterus. The patient was scheduled for Dilatation and Curettage (D&C) with ultrasound guided placement of a lacrimal probe for management of cervical stenosis, hematometra and hematocolpos."...

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