A postoperative complication causing physician consternation.
BACKGROUND
Postoperative ileus and urinary retention are relatively common complications after obstetric and gynecologic procedures. This case highlights an unusual cause of these common postoperative patient reports.


METHODS
A 71-year-old woman underwent an uncomplicated total vaginal hysterectomy and pelvic reconstruction for stage III pelvic organ prolapse. She subsequently presented with and was hospitalized for labile blood pressures, ileus, urinary retention, and subjective sensory and motor complaints. The cause of the patient's reports was not clear until her disease became relatively severe.


CONCLUSIONS
When a postoperative patient has multiple symptoms that do not respond to standard intervention, rare causes outside of one's specialty should be considered.
Bernard
Leah S
LS
Oregon Health and Sciences University, Portland, Oregon, USA. bernarle@ohsu.edu
D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D020275:Guillain-Barre Syndrome / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D045823:Ileus / Q000175:diagnosis / Q000209:etiology*; D011115:Polyneuropathies / Q000175:diagnosis / Q000209:etiology; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D011704:Pyelonephritis / Q000175:diagnosis / Q000209:etiology; D016055:Urinary Retention / Q000175:diagnosis / Q000209:etiology*; D014596:Uterine Prolapse / Q000601:surgery*