Successful pregnancy and vaginal delivery after laparoscopic excision of a congenital uterine cervical diverticulum: A case report

Abstract

Uterine cervical diverticulum is a very rare malformation. Affected patients are reported to have infertility issues and problems during the perinatal period. A 32‐year‐old nulliparous woman visited another obstetrics and gynecology hospital because of infertility. A cyst branching out from the uterine cervix was discovered. Subsequently, she conceived via assisted reproductive technology, but the uterine cyst was left untreated. Eventually, the pregnancy was terminated due to an enlarged uterine cyst and several birth defects. She was referred to our hospital where she was diagnosed with a uterine cervical diverticulum. We excised the diverticulum via a laparoscopic approach. Afterward, she became pregnant and delivered a baby vaginally at 37 weeks. To our knowledge, this is the first report of successful delivery after laparoscopic diverticulum excision. We recommend cervical diverticulum excision before pregnancy because of the potential adverse events associated with cervical diverticulum during pregnancy.

Huge Abdominopelvic Mass Arising from Cervical Fibroid around an Infected Cervical Diverticulum: A Very Rare Case and a Review of Literature

“…[ 5 , 7 ] Even though there has been a case report of successful vaginal delivery after laparoscopic excision of cervical diverticulum future labor, complications like uterine rupture are possible. [ 13 ]…”

Enlarged uterine fibroid forming uterine diverticulum during pregnancy: a case report

“…On the other hand, true congenital uterine diverticula, which occurs at a weak site of the uterine wall during development [ 3 ], is an extremely rare anomaly [ 4 ]. 21 cases of congenital uterine diverticulum were previously reported [ 3 – 13 ]. Our case was suspected to be a congenital uterine cavity worsened by a uterine fibroid and pregnancy because of several reasons.…”