Occult Cervical Avulsion: A Rare Cause of Intrapartum Vaginal Bleeding

Figure 1

Intraoperative identification of cervical detachment of the necrotic anterior rim of the cervix in a complete annular detachment in a multiparous woman in the setting of a failed trial of labor after cesarean delivery. Asterisk indicates external os. Arrow indicates rim of anterior annular avulsion. Cervical canal canalized by ring forceps.