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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2018 March;177(3):104-6

DOI: 10.23736/S0393-3660.17.03502-1

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Cervical amputation after application of the Arabin cerclage-pessary in a dichorionic twin pregnancy

Rosa SAVONE , Marco LIBERATI

Unit of Obstetrics and Gynecology, SS. Annunziata Hospital, Gabriele D’Annunzio University, Chieti, Italy


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Preterm birth is one of the causes of perinatal morbidity and mortality. The traditional treatment for a short cervix has been the cerclage in addition with the progesterone administration. Recently, the idea of using vaginal pessaries as a new less invasive method of treatment for the same indication is under discussion. The use of the Arabin cerclage-pessary in a 20-year-old woman with dichorionic twin pregnancy and an extremely short cervix, is presented. The patient had a spontaneous premature rupture of amniotic membranes at 31 weeks and 3 days of gestation and underwent emergency cesarean section. Following surgery, cervical pessary was removed and there was an amputation of the cervix, most likely due to a wrong positioning of the pessary as it turned out to be put in reverse, with the concavity facing the body of the uterus.


KEY WORDS: Trachelectomy - Pessaries - Obstetric labor, premature

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