A serious complication following placement of posterior Prolift.
A 32-year-old female with Crohn's disease experienced a rectovaginal fistula and abscess with rectal expulsion of posterior Prolift. She underwent diagnostic laparoscopy, transanal incision and drainage of abscess, transanal excision of mesh, and laparotomy with loop ileostomy. Weeks later, she underwent colectomy, near-total proctectomy, end ileostomy, and fistula repair.
Huffaker
R Keith
RK
Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Scott & White Memorial Hospital and Clinic, Temple, TX 76508, USA. khuffaker@swmail.sw.org
Shull
Bobby L
BL
Thomas
J Scott
JS
D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000328:Adult; D003424:Crohn Disease / Q000150:complications; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012002:Rectal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012006:Rectovaginal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D053825:Suburethral Slings / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome