PMC6515025_01
Intraoperative identification of cervical detachment of the necrotic anterior rim of the cervix in a complete annular detachment in a multiparous woman in the setting of a failed trial of labor after cesarean delivery. Asterisk indicates external os. Arrow indicates rim of anterior annular avulsion. Cervical canal canalized by ring forceps.
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fig1
The avulsed portion of cervix appeared necrotic (Figure 1) and there was no bleeding noted at the site of cervical detachment.
PMC6515025_02
Six-week postoperative speculum evaluation of a multiparous woman who suffered a partial posterior cervical avulsion 10 days following removal of an ultrasound-indicated cerclage.
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fig2
At her six-week postpartum visit her cervical exam was remarkable for a normal appearing anterior lip; however the posterior lip was not visible and not palpable on digital exam (Figure 2).