español al inglés Medicina Medicina (general) Cervical ectopic pregnancy

Hello,

I am finding the phrase containing these words somewhat confusing.

Context:

La clínica que presentaba la paciente de nuestro caso era un manchado escaso y puntual que se asociaba con molestias abdominales difusas y muy leves, que cesaban fácilmente con analgesia oral.

En la exploración se evidencia, efectivamente, la ausencia de sangrado activo y un orificio cervical externo ***permeable, aunque cerrado***.

Antes de los avances de la ultrasonografía, el diagnóstico era muy complicado y se hacía, en muchas ocasiones, en las piezas de histerectomías realizadas a causa de sangrados incontrolables.

In our case the patient’s clinical presentation was scant, timely spotting associated with diffuse, very mild abdominal discomfort that stopped easily with oral analgesia.

Indeed examination revealed no active bleeding and an open external cervical os, though closed.

In view of the advances in ultrasound techniques, the diagnosis was very complicated and on many occasions was made on the hysterectomy specimens taken due to uncontrollable bleeding.

Does this make sense to anyone - it seems contradictory to me.

Thank you for any help.