A serious bleeding complication with injury of the corona mortis with the TVT-Secur procedure.
We report a serious complication following a TVT-Secur procedure due to injury of the corona mortis requiring a surgical intervention for removal of 1 l of clotted blood from the space of Retzius. The corona mortis is an anomaly of the vessel combining the obturator and epigastric arteries passing over the superior pubic ramus, well known to hernia and orthopedic surgeons but probably less well known to gynecological surgeons.
Larsson
Per-Göran
PG
Department of Obstetrics and Gynecology, Kärnsjukhuset, Skaraborgs Hospital, University of Skövde, 54128, Skövde, Sweden. p-g.larsson@vgregion.se
Teleman
Pia
P
Persson
Jan
J
D019074:Epigastric Arteries / Q000293:injuries*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000293:injuries*; D008026:Ligation; D008875:Middle Aged; D017773:Pelvic Floor / Q000098:blood supply*; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*