International journal of surgery case reports · 2026
Pregnancy after the Manchester-Fothergill procedure: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ghanbari Zinat, Eftekhar Tahereh, Deldar Maryam, Shbeeb Hawraa, Pouyamoghadam Shahla, Ghaemi Marjan
Аннотация
INTRODUCTION AND IMPORTANCE: Cervical elongation is commonly associated with uterine prolapse. The Manchester-Fothergill procedure offers a fertility-preserving surgical option for its correction. However, conception following this procedure is exceedingly rare, with an estimated incidence of 1 in 10 000.
CASE PRESENTATION: We present the case of a 35-year-old multiparous woman (G3P2L2) who conceived 18 months after undergoing the Manchester-Fothergill procedure for cervical elongation. Her obstetric history included one vaginal delivery and one cesarean section performed for cervical elongation. Postoperatively, she resumed regular menstrual cycles and later experienced an unplanned pregnancy.
CLINICAL DISCUSSION: The patient was managed with close antenatal surveillance, including serial sonographic evaluations of the cervical length and fetal well-being. She carried the pregnancy to term and delivered a healthy neonate via cesarean section at 39 weeks, with a birth weight of 3,700 grams. No evidence of prolapse recurrence was observed in the postpartum period.
CONCLUSION: This case highlights that, although rare, a successful pregnancy is possible following the Manchester-Fothergill procedure. Optimal outcomes depend on vigilant antenatal care, regular cervical monitoring, limitation of physical exertion, and early identification of potential complications.
CASE PRESENTATION: We present the case of a 35-year-old multiparous woman (G3P2L2) who conceived 18 months after undergoing the Manchester-Fothergill procedure for cervical elongation. Her obstetric history included one vaginal delivery and one cesarean section performed for cervical elongation. Postoperatively, she resumed regular menstrual cycles and later experienced an unplanned pregnancy.
CLINICAL DISCUSSION: The patient was managed with close antenatal surveillance, including serial sonographic evaluations of the cervical length and fetal well-being. She carried the pregnancy to term and delivered a healthy neonate via cesarean section at 39 weeks, with a birth weight of 3,700 grams. No evidence of prolapse recurrence was observed in the postpartum period.
CONCLUSION: This case highlights that, although rare, a successful pregnancy is possible following the Manchester-Fothergill procedure. Optimal outcomes depend on vigilant antenatal care, regular cervical monitoring, limitation of physical exertion, and early identification of potential complications.