Abstract

Outflow tract obstruction of female genital tract can lead to varied presentations depending on many factors. Most of the obstructions are congenital and usually occur in the lower part. A rare case of obstruction of cervical opening is reported. 37 years old lady with two previous cesarean deliveries reported with complaints of lower abdominal pain along with difficulty in passing urine, she was detected to have a lower abdominal lump. Imaging studies suggested retention cyst. Examination under anesthesia showed obliterated external cervical opening. Dilatation resulted in extrusion of large quantity of chocolate material. She made good postoperative recovery but the cause of cervical stenosis was not clear.

Keywords:Cervical stenosis; Hematometra; Urinary retention