Bucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case report
Abstract Background A bucket-handle cervical tear, a laceration of the anterior or the posterior lip of the cervix so that it hangs like the handle of a bucket, is the rarest type of cervical laceration. Our case represents such a serious cervical laceration. Case summary A 28 year-old para 2 (both...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-02-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-022-03269-y |
| _version_ | 1819280951041064960 |
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| author | Abraham Fessehaye Mariamawit Asfaw Hika Hailu Kitila Wondimu Gudu |
| author_facet | Abraham Fessehaye Mariamawit Asfaw Hika Hailu Kitila Wondimu Gudu |
| author_sort | Abraham Fessehaye |
| collection | DOAJ |
| description | Abstract Background A bucket-handle cervical tear, a laceration of the anterior or the posterior lip of the cervix so that it hangs like the handle of a bucket, is the rarest type of cervical laceration. Our case represents such a serious cervical laceration. Case summary A 28 year-old para 2 (both vaginal deliveries) Ethiopian mother presented at term with prolonged rupture of membrane. After 8 hours of oxytocin induction, a bucket-handle cervical detachment was detected at the time of her vaginal delivery, up on digital pelvic examination. Delivery of the baby was noted to be through the cervical tear, not the cervical opening. Cervix was amputated at the level of the cervical tear, 4 days after a failed initial repair surgery. Conclusion When bucket-handle cervical tear is encountered, a thorough clinical evaluation of the viability of the cervical tissue and feasibility of a repair procedure should be made during the first surgery. If the cervical detachment is near total, as in our case, we recommend amputation of the hanging cervical tissue from the outset. |
| first_indexed | 2024-12-24T00:51:57Z |
| format | Article |
| id | doaj.art-37fe3c23644b45f0b4a86d322871ab84 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-24T00:51:57Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-37fe3c23644b45f0b4a86d322871ab842022-12-21T17:23:33ZengBMCJournal of Medical Case Reports1752-19472022-02-011611310.1186/s13256-022-03269-yBucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case reportAbraham Fessehaye0Mariamawit Asfaw1Hika Hailu Kitila2Wondimu Gudu3Department of Obstetrics and Gynecology, Saint Paul’s Hospital millennium Medical CollegeDepartment of Obstetrics and Gynecology, Saint Paul’s Hospital millennium Medical CollegeDepartment of Obstetrics and Gynecology, Saint Paul’s Hospital millennium Medical CollegeDepartment of Obstetrics and Gynecology, Saint Paul’s Hospital millennium Medical CollegeAbstract Background A bucket-handle cervical tear, a laceration of the anterior or the posterior lip of the cervix so that it hangs like the handle of a bucket, is the rarest type of cervical laceration. Our case represents such a serious cervical laceration. Case summary A 28 year-old para 2 (both vaginal deliveries) Ethiopian mother presented at term with prolonged rupture of membrane. After 8 hours of oxytocin induction, a bucket-handle cervical detachment was detected at the time of her vaginal delivery, up on digital pelvic examination. Delivery of the baby was noted to be through the cervical tear, not the cervical opening. Cervix was amputated at the level of the cervical tear, 4 days after a failed initial repair surgery. Conclusion When bucket-handle cervical tear is encountered, a thorough clinical evaluation of the viability of the cervical tissue and feasibility of a repair procedure should be made during the first surgery. If the cervical detachment is near total, as in our case, we recommend amputation of the hanging cervical tissue from the outset.https://doi.org/10.1186/s13256-022-03269-yBucket handleCervical tearOxytocin induction |
| spellingShingle | Abraham Fessehaye Mariamawit Asfaw Hika Hailu Kitila Wondimu Gudu Bucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case report Journal of Medical Case Reports Bucket handle Cervical tear Oxytocin induction |
| title | Bucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case report |
| title_full | Bucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case report |
| title_fullStr | Bucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case report |
| title_full_unstemmed | Bucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case report |
| title_short | Bucket-handle cervical tear at term following oxytocin-induced vaginal delivery: a case report |
| title_sort | bucket handle cervical tear at term following oxytocin induced vaginal delivery a case report |
| topic | Bucket handle Cervical tear Oxytocin induction |
| url | https://doi.org/10.1186/s13256-022-03269-y |
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