Case Report of a 31-Year-Old Woman with COVID-19 and Chorioamnionitis at 18 Weeks of Gestation with a Twin Pregnancy and an Abdominal Cerclage for Cervical Incompetence Removed by Posterior Colpotomy Approach

Abstract

Patient: Female, 31-year-old Final Diagnosis: Chorioamnionitis Symptoms: Nasal congestion • PPROM • rhinorrhea Clinical Procedure: — Specialty: Obstetrics and Gynecology Objective: Unusual clinical course Background: Cervical incompetence and deformities contribute significantly to mid-trimester pregnancy losses and preterm births. Abdominal cerclages prevent these complications, particularly in patients with a history of failed vaginal cerclage or severe cervical deformities. However, pregnancy complications such as chorioamnionitis and fetal demise may necessitate cerclage removal. The removal methods vary, with the least invasive being the colpotomy approach, associated with lower morbidity rates than the transabdominal approach or laparoscopy. Case Report: We detail a case involving a 31-year-old woman with a twin pregnancy at 18 weeks gestation, complicated by COVID-19 and chorioamnionitis. This clinical scenario necessitated the removal of an abdominal cerclage. Given the patient's risk profile, a posterior colpotomy approach was deemed most suitable. Conclusions: The posterior colpotomy approach provided an effective and less risky method for abdominal cerclage removal in a high-risk patient. It successfully mitigated the potential complications of general anesthesia and operative risks associated with laparoscopy/laparotomy, offering optimal operative conditions.