Bowel injury occurring during an outpatient LLETZ procedure. A case report.
BACKGROUND
Large loop excision of the transformation zone (LLETZ) of the cervix has almost entirely replaced cold knife conization for the treatment of dysplasia.


METHODS
A 17-year-old woman, gravida 0, underwent LLETZ of the cervix for treatment of cervical intraepithelial neoplasia 2. A bowel injury occurred during the procedure. The bowel was repaired in the operating room, and no long-term complications resulted.


CONCLUSIONS
While LLETZ is a minor outpatient procedure, serious complications can occur.
Dunn
Terry S
TS
Departments of Obstetrics and Gynecology, Pathology and Surgery, Denver Health Medical Center, University of Colorado Health Science Center, Denver, USA. tdunn@dhha.org
Woods
Jan
J
Burch
Jon
J
D000293:Adolescent; D000556:Ambulatory Surgical Procedures; D003127:Colposcopy; D019092:Conization / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007422:Intestines / Q000293:injuries* / Q000601:surgery; D007431:Intraoperative Complications / Q000601:surgery*; D007813:Laparotomy; D009367:Neoplasm Staging; D018570:Risk Assessment; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*; D014626:Vaginal Smears; D002578:Uterine Cervical Dysplasia / Q000473:pathology* / Q000601:surgery*