Double cervical ostia after large loop excision of transformation zone

J Low Genit Tract Dis. 2012 Jul;16(3):330-2. doi: 10.1097/LGT.0b013e31823da7be.

Abstract

Background: Large loop excision of the transformation zone (LLETZ) is the preferred treatment modality among colposcopists for cervical intraepithelial neoplasia. We report a unique case of cervical septum after LLETZ and the subsequent management.

Case: Large loop excision of the transformation zone was performed on a young woman for a severely dyskaryotic cervical smear and colposcopic impression of high-grade abnormality. At her 6-month follow-up, double cervical ostium was seen resulting from cervical septum formation. This was surgically divided to enable a single cervical ostium for future smear taking and follow-up.

Conclusions: This case report is to make clinicians aware of a rare complication such as double cervical ostium after LLETZ and its management.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy, Needle
  • Cervix Uteri / pathology*
  • Cervix Uteri / surgery
  • Cicatrix / etiology
  • Cicatrix / pathology
  • Cicatrix / surgery
  • Colposcopy / adverse effects*
  • Colposcopy / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Hysterosalpingography / methods
  • Hysteroscopy / methods
  • Immunohistochemistry
  • Postoperative Complications / pathology
  • Postoperative Complications / surgery
  • Precancerous Conditions / pathology
  • Precancerous Conditions / surgery
  • Risk Assessment
  • Treatment Outcome
  • Uterine Cervical Dysplasia / pathology*
  • Uterine Cervical Dysplasia / surgery*
  • Uterine Cervical Neoplasms / pathology*
  • Uterine Cervical Neoplasms / surgery*
  • Vaginal Smears / methods