title: Peritonitis due to iatrogenic colpotomy after large loop excision of the transformation zone (LLETZ) in a patient with cervical intraepithelial neoplasia III: our experience of a rare case with review of the literature.
abstract: A case of peritonitis as an unusual complication of LLETZ (large loop excision of the transformation zone) for the treatment of CIN III associated with unrecognized iatrogenic posterior colpotomy is presented. After the procedure, the patient developed fever 38.3 degrees C and diffused severe pelvic pain. The contributing factors, prevention and management of this complication are discussed. Also, the complications of cold knife cervical conization and LLETZ procedure are reviewed.
authors.affiliation: Department of Obstetrics and Gynecology, Elena Venizelou General Maternity Hospital, Athens, Greece. mnvarras@otenet.gr
authors.forename: M
authors.initials: M
authors.lastname: Varras
authors.forename: C
authors.initials: C
authors.lastname: Akrivis
authors.forename: A
authors.initials: A
authors.lastname: Anastasiadis
authors.forename: G
authors.initials: G
authors.lastname: Lekkas
authors.forename: G
authors.initials: G
authors.lastname: Diakakis
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014621:Vagina / Q000293:injuries*; D055815:Young Adult; D002578:Uterine Cervical Dysplasia / Q000601:surgery*