[Spontaneous rupture of common iliac artery after hysterectomy for malignant gynecologic tumor].
Authors described a serious, iatrogenic, vessel complications after hysterectomy for uterus sarcoma. After successful abdominal hysterectomy spontaneous rupture of right common iliac artery occurred causing massive exsanguination into intraperitoneal space. During secondary laparotomy procedure large, partial loss of arterial wall was recognized and provided with non-absorbable Prolene 4-0 suture. Subsequently, the injury was replaced by arterial artificial prosthesis gore-tec 8. Intraoperatively, ventricular fibrillation and cardiac arrest took place with subsequent acute respiratory and circulatory distress syndrome. Throughout next several days after reoperation patient was deep unconscious and hospitalized on Intensive Care Unit. She manifested symptoms of damaged extrapyramidal tracts. In spite of further unfavourable prognosis, after almost a month of respiratory therapy, she fully recovered without symptoms of brain damage and visual sequelae.
Liro
Marcin
M
Klinika Ginekologii Instytutu Połoznictwa i Chorób Kobiecych AM, Gdańisku.
Emerich
Janusz
J
Wydra
Dariusz
D
Stukan
Maciej
M
D000328:Adult; D017542:Aneurysm, Ruptured / Q000209:etiology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology / Q000601:surgery*; D003128:Coma / Q000209:etiology; D005260:Female; D006323:Heart Arrest / Q000209:etiology; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007049:Iatrogenic Disease; D007083:Iliac Artery / Q000293:injuries / Q000503:physiopathology / Q000601:surgery; D012128:Respiratory Distress Syndrome / Q000209:etiology; D012422:Rupture, Spontaneous / Q000209:etiology; D012509:Sarcoma / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery; D014693:Ventricular Fibrillation / Q000209:etiology