Cervicovaginal fistula formation: a new complication of Shirodkar cerclage.

In this article, cervicovaginal fistula formation is reported for the first time as a complication of failure to remove a cervical cerclage during labor. Along with the available literature, the case presented here suggests the value of timely removal of a cerclage in the face of strong uterine contractions. Should cervical laceration/rupture occur, immediate repair should be attempted. If chronic cervicovaginal fistula occurs, preterm delivery through the defect and frank uterine rupture are risks with succeeding pregnancies.

Duke Scholars

Author Andrew Berchuck Obstetrics and Gynecology, Gynecologic Oncology