Strangulated small bowel 14 years after abdominal sacrocolpopexy.
Abdominal sacrocolpopexy is a well-established procedure for the reconstruction of apical support in pelvic organ prolapse. Its long-term efficacy is well known; however, it is also associated with higher perioperative morbidity when compared with the less invasive transvaginal approach. Long-term risk of bowel-related complication from abdominal sacrocolpopexy is rare, but can be significant as it is often serious and requires major surgical intervention. Here we highlight an unusual case of strangulated small bowel (in this instance complicated with sepsis secondary to peritonitis), 14 years after an abdominal sacrocolpopexy procedure. This example amplifies the need for proper preoperative counseling; also, life-long follow-up is necessary for patients undergoing this procedure.
Department of Obstetrics and Gynecology, Serdang Hospital, Kajang, Selangor, Malaysia; Division of Urogynecology, Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Leng Boi
LB
Pue
Tsia-Shu
TS
Lo
Pei-Ying
PY
Wu
Yiap Loong
YL
Tan
D002432:Cecum / Q000473:pathology; D005260:Female; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007082:Ileum / Q000473:pathology; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D000267:Tissue Adhesions / Q000150:complications / Q000601:surgery
bowel obstruction; gastrointestinal complication; sacrocolpopexy