title: Arcus tendineus levator ani tear causing pelvic hematoma after tension-free vaginal tape insertion.
abstract: Although vaginal tamponade is usually sufficient for hemostasis, it is not useful if a pelvic hematoma occurs. Here, we report the unusual case of a large pelvic hematoma necessitating laparotomy for hemostasis due to a tear of the arcus tendineus levator ani after insertion of a tension-free vaginal tape.
authors.affiliation: Department of Obstetrics and Gynecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin. danielchan@cuhk.edu.hk
authors.forename: Lin Wai
authors.initials: LW
authors.lastname: Chan
authors.forename: Man Wah
authors.initials: MW
authors.lastname: Pang
authors.forename: Shing-Kai
authors.initials: SK
authors.lastname: Yip
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006487:Hemostasis; D006801:Humans; D007813:Laparotomy; D010388:Pelvis / Q000293:injuries*; D013708:Tendon Injuries / Q000209:etiology* / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina / Q000293:injuries*