IR-Guided Access to Uterine Cavity in a Case of Severe Cervical Stenosis

Video Objective To demonstrate a case of interventional radiology-guided access to uterine cavity in a case of severe cervical stenosis. Setting A 42-year-old G1P1 woman presented to a tertiary referral centre with a history of adenocarcinoma in situ and a previous complete LEEP excision. She had severe cervical stenosis with no external os visible that prevented ongoing endocervical monitoring. Due to a desire to preserve fertility, she declined a hysterectomy. She underwent multiple attempted hysteroscopies without any success. Interventions Interventional radiology-guided cannulation of her cervix and hysteroscopic release of cervical stenosis. Conclusion We demonstrate a successful case of IR-guided cervical and uterine cannulation in a patient with complete external cervical os stenosis. This technique is a useful alternative method to consider in cases of failed hysteroscopic attempts due to cervical stenosis. To demonstrate a case of interventional radiology-guided access to uterine cavity in a case of severe cervical stenosis. A 42-year-old G1P1 woman presented to a tertiary referral centre with a history of adenocarcinoma in situ and a previous complete LEEP excision. She had severe cervical stenosis with no external os visible that prevented ongoing endocervical monitoring. Due to a desire to preserve fertility, she declined a hysterectomy. She underwent multiple attempted hysteroscopies without any success. Interventional radiology-guided cannulation of her cervix and hysteroscopic release of cervical stenosis. We demonstrate a successful case of IR-guided cervical and uterine cannulation in a patient with complete external cervical os stenosis. This technique is a useful alternative method to consider in cases of failed hysteroscopic attempts due to cervical stenosis.