Cervical Cerclage to Prevent Intrauterine Balloon Prolapse

Intrauterine balloon prolapse sometimes occurs, and the intrauterine balloon must be reinserted. Furthermore, intrauterine balloon tamponade (IBT) failure can necessitate additional invasive procedures. We report a case of cervical cerclage with IBT for placenta previa with a cervical dilation. In our case, emergency cesarean section was performed at 35 + 4 weeks of gestation because of persistent hemorrhage. During the operation, we performed IBT to prevent further postpartum hemorrhage. However, immediately after the operation, uterine cervical dilatation was 6 cm, which resulted in cervical dilation and prolapse of the intrauterine balloon. Therefore, we performed cervical cerclage using absorbable sutures with IBT and blood transfusion. We speculated that the intrauterine balloon might have induced cervical canal ripening during the operation. Our case suggested that cervical cerclage with IBT is a useful method to prevent intrauterine balloon prolapse in cases with cervical dilation.

Automated summary

This article reports a case of cervical cerclage with intrauterine balloon tamponade (IBT) for placenta previa with cervical dilation. During the operation, cervical dilation and prolapse of the intrauterine balloon were observed, leading to the use of absorbable sutures for cervical cerclage and blood transfusion. The results suggest that cervical cerclage with IBT is effective in preventing intrauterine balloon prolapse in cases with cervical dilation.