Nausea and vomiting after placement of tension-free vaginal tape sling.
BACKGROUND
Minimally invasive surgical procedures such as tension-free vaginal tape sling should not imply that a minimal preoperative evaluation is all that is required.


METHODS
A 52-year-old multiparous perimenopausal woman presented with postoperative nausea, vomiting, and vague abdominal-pelvic discomfort after placement of tension-free vaginal tape. The final diagnosis was invasive molar pregnancy.


CONCLUSIONS
This case raises the awareness of the rare diagnosis of gestational trophoblastic disease in perimenopausal women and emphasizes the importance of a complete preoperative evaluation in those scheduled to undergo minimally invasive procedures.
From the Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology and the Department of Pathology, Scott and White Memorial Hospital, Texas A&M Health Science Center College of Medicine, Temple, Texas.
Christopher
C
Chung
Cary
C
Chisholm
Bob
B
Shull
Paul
P
Yandell
D006063:Chorionic Gonadotropin / Q000097:blood; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis / Q000601:surgery*; D007044:Hysterectomy; D008875:Middle Aged; D010388:Pelvis / Q000000981:diagnostic imaging; D020250:Postoperative Nausea and Vomiting / Q000175:diagnosis / Q000209:etiology*; D011247:Pregnancy; D011860:Radiography, Abdominal; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery*
D006063:Chorionic Gonadotropin
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