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Vaginal Evisceration: An Unexpected Complication of Conization
Background. Large loop excision of the transformation zone (LLETZ) is routinely performed for the management of high grade intracervical neoplasia (CIN). Several uncommon complications have been described, including postoperative peritonitis, pseudoaneurysm of uterine artery, and bowel fistula. We r...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253695/ https://www.ncbi.nlm.nih.gov/pubmed/25506010 http://dx.doi.org/10.1155/2014/983682 |
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author | Ghassani, Ali Andre, Benoit Simon-Toulza, Caroline Tanguy le Gac, Yann Martinez, Alejandra Vidal, Fabien |
author_facet | Ghassani, Ali Andre, Benoit Simon-Toulza, Caroline Tanguy le Gac, Yann Martinez, Alejandra Vidal, Fabien |
author_sort | Ghassani, Ali |
collection | PubMed |
description | Background. Large loop excision of the transformation zone (LLETZ) is routinely performed for the management of high grade intracervical neoplasia (CIN). Several uncommon complications have been described, including postoperative peritonitis, pseudoaneurysm of uterine artery, and bowel fistula. We report a unique case of postoperative vaginal evisceration and the subsequent management. Case. A 73-years-old woman underwent LLETZ for high grade CIN. On postoperative day 3, she was admitted for small bowel evisceration through the vagina. Surgical management was based on combined laparoscopic and transvaginal approach and consisted in bowel inspection and reinstatement, peritoneal washing, and dehiscence repair. Conclusions. Vaginal evisceration is a rare but potentially serious complication of pelvic surgery. This case report is to make clinicians aware of such complication following LLETZ and its management. |
format | Online Article Text |
id | pubmed-4253695 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-42536952014-12-11 Vaginal Evisceration: An Unexpected Complication of Conization Ghassani, Ali Andre, Benoit Simon-Toulza, Caroline Tanguy le Gac, Yann Martinez, Alejandra Vidal, Fabien Case Rep Obstet Gynecol Case Report Background. Large loop excision of the transformation zone (LLETZ) is routinely performed for the management of high grade intracervical neoplasia (CIN). Several uncommon complications have been described, including postoperative peritonitis, pseudoaneurysm of uterine artery, and bowel fistula. We report a unique case of postoperative vaginal evisceration and the subsequent management. Case. A 73-years-old woman underwent LLETZ for high grade CIN. On postoperative day 3, she was admitted for small bowel evisceration through the vagina. Surgical management was based on combined laparoscopic and transvaginal approach and consisted in bowel inspection and reinstatement, peritoneal washing, and dehiscence repair. Conclusions. Vaginal evisceration is a rare but potentially serious complication of pelvic surgery. This case report is to make clinicians aware of such complication following LLETZ and its management. Hindawi Publishing Corporation 2014 2014-11-19 /pmc/articles/PMC4253695/ /pubmed/25506010 http://dx.doi.org/10.1155/2014/983682 Text en Copyright © 2014 Ali Ghassani et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ghassani, Ali Andre, Benoit Simon-Toulza, Caroline Tanguy le Gac, Yann Martinez, Alejandra Vidal, Fabien Vaginal Evisceration: An Unexpected Complication of Conization |
title | Vaginal Evisceration: An Unexpected Complication of Conization |
title_full | Vaginal Evisceration: An Unexpected Complication of Conization |
title_fullStr | Vaginal Evisceration: An Unexpected Complication of Conization |
title_full_unstemmed | Vaginal Evisceration: An Unexpected Complication of Conization |
title_short | Vaginal Evisceration: An Unexpected Complication of Conization |
title_sort | vaginal evisceration: an unexpected complication of conization |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253695/ https://www.ncbi.nlm.nih.gov/pubmed/25506010 http://dx.doi.org/10.1155/2014/983682 |
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