Surgical Management of Cervical Canal Stenosis with Clinical Tuberculosis Using Foley's Catheter Stent: A Case Report.

Abstract

Uterine cervical canal stenosis can lead to significant complications, particularly in the context of active clinical tuberculosis. This case study discusses a 25-year-old woman with undiagnosed clinical tuberculosis who presented with amenorrhea and persistent abdominal pain. Further evaluation revealed uterine cervical canal stenosis and frozen pelvis. Surgical intervention was necessary after confirming the diagnosis through clinical assessment. A laparotomy with hysterotomy was performed, during which a Foley's catheter was used to create a patent uterocervical channel. This innovative approach successfully alleviated her abdominal pain and restored her menstrual function. The patient's recovery was smooth, and her symptoms improved markedly. This case underscores the importance of recognizing cervical stenosis as a potential consequence of tuberculosis and demonstrates the effectiveness of surgical treatment in managing complex cases without resorting to hysterectomy or bilateral salpingo-oophorectomy, thereby preserving reproductive potential for women of childbearing age.