Double cervical ostia after large loop excision of transformation zone.

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.