ArticleInternational journal of women's health2026
Laparoscopic Cervical Cerclage Band Erosion into the Rectal Lumen Complicated by Recto-Uterine Fistula: A Case Report.
Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Laparoscopic abdominal cervical cerclage (LACC) is a well-established intervention for cervical insufficiency. Long-term complications involving delayed band migration and erosion into adjacent viscera are exceptionally rare; the most frequently reported site is the urinary bladder. To the best of our knowledge, complete erosion into the intestinal lumen has not been previously reported. This report describes a case of complete cerclage band erosion into the rectal lumen, later complicated by recto-uterine fistula formation, and highlights the associated diagnostic and management challenges. Case: A 44-year-old asymptomatic woman with prior LACC presented for elective band removal. Preoperative evaluation, including pelvic ultrasound, was unrevealing. During laparoscopy, two cerclage bands were found entirely within the rectal lumen, necessitating unplanned rectal repair and diverting transverse colostomy. Three months later, pre-colostomy reversal imaging revealed a recto-uterine fistula. A multidisciplinary team recommended delayed surgical repair; the patient opted for conservative management. Conclusion: To the best of our knowledge, this case represents the first report of complete transmural erosion of an LACC band into the rectum with subsequent recto-uterine fistula formation. This case demonstrates that cerclage removal in patients with complex surgical histories warrants careful preoperative planning and multidisciplinary preparedness. Given the extreme rarity of this complication, the decision regarding elective cerclage removal should be individualized.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.