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CC BY 4.0 · Surg J (N Y) 2023; 09(01): e36-e38
DOI: 10.1055/s-0042-1749427
Case Report

Cervical Cerclage to Prevent Intrauterine Balloon Prolapse

Toshifumi Suzuki 
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
2   Department of Obstetrics and Gynecology, Keiai Hospital, Saitama, Japan
,
Jun Takeda 
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
,
Rie Seyama 
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
,
Shintaro Makino 
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
3   Department of Obstetrics and Gynecology, Juntendo University Urayasu Hospital, Urayasu City, Chiba, Japan
,
Satoru Takeda 
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
4   Aiiku Research Institute for Maternal, Child Health and Welfare, Tokyo, Japan
,
Atsuo Itakura 
1   Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan
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Abstract

Intrauterine balloon prolapse sometimes occurs, and the intrauterine balloon must be reinserted. Furthermore, intrauterine balloon tamponade (IBT) failure can necessitate additional invasive procedures. We report a case of cervical cerclage with IBT for placenta previa with a cervical dilation. In our case, emergency cesarean section was performed at 35 + 4 weeks of gestation because of persistent hemorrhage. During the operation, we performed IBT to prevent further postpartum hemorrhage. However, immediately after the operation, uterine cervical dilatation was 6 cm, which resulted in cervical dilation and prolapse of the intrauterine balloon. Therefore, we performed cervical cerclage using absorbable sutures with IBT and blood transfusion. We speculated that the intrauterine balloon might have induced cervical canal ripening during the operation. Our case suggested that cervical cerclage with IBT is a useful method to prevent intrauterine balloon prolapse in cases with cervical dilation.

Keywords

cervical cerclage - intrauterine balloon tamponade - placenta previa - cervical dilation - intrauterine balloon prolapse


Publication History

Received: 28 May 2021

Accepted: 04 April 2022

Article published online:
03 February 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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