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...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/983682 |
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| author | Ali Ghassani Benoit Andre Caroline Simon-Toulza Yann Tanguy le Gac Alejandra Martinez Fabien Vidal |
| author_facet | Ali Ghassani Benoit Andre Caroline Simon-Toulza Yann Tanguy le Gac Alejandra Martinez Fabien Vidal |
| author_sort | Ali Ghassani |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-a258d49468f54fa6a648bead1f1347f2 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-a258d49468f54fa6a648bead1f1347f22025-02-03T06:00:54ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/983682983682Vaginal Evisceration: An Unexpected Complication of ConizationAli Ghassani0Benoit Andre1Caroline Simon-Toulza2Yann Tanguy le Gac3Alejandra Martinez4Fabien Vidal5CHU Toulouse, Pole de Gynécologie Obstétrique, Hôpital Paule de Viguier, 31059 Toulouse, FranceCHU Toulouse, Pole de Gynécologie Obstétrique, Hôpital Paule de Viguier, 31059 Toulouse, FranceCHU Toulouse, Pole de Gynécologie Obstétrique, Hôpital Paule de Viguier, 31059 Toulouse, FranceCHU Toulouse, Pole de Gynécologie Obstétrique, Hôpital Paule de Viguier, 31059 Toulouse, FranceSurgery Department, Institut Claudius Regaud, 20-24 rue du pont Saint Pierre, 31052 Toulouse, FranceHôpital Paule de Viguier-CHU Toulouse, Service de Chirurgie Gynécologique, Pole de Gynécologie Obstétrique, 31059 Toulouse Cedex 9, FranceBackground. 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.http://dx.doi.org/10.1155/2014/983682 |
| spellingShingle | Ali Ghassani Benoit Andre Caroline Simon-Toulza Yann Tanguy le Gac Alejandra Martinez Fabien Vidal Vaginal Evisceration: An Unexpected Complication of Conization Case Reports in Obstetrics and Gynecology |
| 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 |
| url | http://dx.doi.org/10.1155/2014/983682 |
| work_keys_str_mv | AT alighassani vaginaleviscerationanunexpectedcomplicationofconization AT benoitandre vaginaleviscerationanunexpectedcomplicationofconization AT carolinesimontoulza vaginaleviscerationanunexpectedcomplicationofconization AT yanntanguylegac vaginaleviscerationanunexpectedcomplicationofconization AT alejandramartinez vaginaleviscerationanunexpectedcomplicationofconization AT fabienvidal vaginaleviscerationanunexpectedcomplicationofconization |