[Vaginal evisceration following radiotherapy and surgery for cervico-uterine cancer. Report of a case].
A 60-year-old woman with past history of perineorrhaphy due to vaginal prolapse; squamous cell carcinoma of the uterine cervix stage IIB, treated with radiation theraphy at doses of 7500 rads administered as teletherapy and brachytherapy with Cesium 137. Ten weeks later a Piver II hysterectomy was performed, her posoperative morbidity was a vaginal abscess. Twelve years later, she developed a pulmonary metastasis. One year thereafter she had vaginal discharge of cetrinous fluid and prolapse of greater omentum through the vagina. She was treated by a midle exploratory celiotomy, primary closure of the vaginal defect and the pelvic floor was covered with an omental pedicle flap. The postoperative period was unremarkable.
Luna
P
P
Servicio Colon y Recto, Hospital de Oncología, México.
Sanchez
W
W
D000368:Aged; D001918:Brachytherapy; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery*; D005260:Female; D006547:Hernia; D006801:Humans; D007044:Hysterectomy; D008175:Lung Neoplasms / Q000556:secondary; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D010385:Pelvic Exenteration / Q000379:methods*; D011391:Prolapse; D011867:Radioisotope Teletherapy; D013524:Surgical Flaps; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D014594:Uterine Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D014623:Vaginal Diseases / Q000601:surgery*
Evisceración vaginal secundaria a tratamiento de carcinoma cervicouterino con radioterapia y cirugía. Informe de un caso.