title: Vaginal evisceration: an unexpected complication of conization.
abstract: Background. Large loop excision of the transformation zone (LLETZ) is routinely performed for the management of high grade intracervical neoplasia (CIN). Several uncommon complications have been described, including postoperative peritonitis, pseudoaneurysm of uterine artery, and bowel fistula. We report a unique case of postoperative vaginal evisceration and the subsequent management. Case. A 73-years-old woman underwent LLETZ for high grade CIN. On postoperative day 3, she was admitted for small bowel evisceration through the vagina. Surgical management was based on combined laparoscopic and transvaginal approach and consisted in bowel inspection and reinstatement, peritoneal washing, and dehiscence repair. Conclusions. Vaginal evisceration is a rare but potentially serious complication of pelvic surgery. This case report is to make clinicians aware of such complication following LLETZ and its management.
authors.affiliation: CHU Toulouse, Pole de Gynécologie Obstétrique, Hôpital Paule de Viguier, 31059 Toulouse, France.
authors.forename: Ali
authors.initials: A
authors.lastname: Ghassani
authors.affiliation: CHU Toulouse, Pole de Gynécologie Obstétrique, Hôpital Paule de Viguier, 31059 Toulouse, France ; Surgery Department, Institut Claudius Regaud, 20-24 rue du pont Saint Pierre, 31052 Toulouse, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Andre
authors.affiliation: CHU Toulouse, Pole de Gynécologie Obstétrique, Hôpital Paule de Viguier, 31059 Toulouse, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Simon-Toulza
authors.affiliation: CHU Toulouse, Pole de Gynécologie Obstétrique, Hôpital Paule de Viguier, 31059 Toulouse, France.
authors.forename: Yann
authors.initials: Y
authors.lastname: Tanguy le Gac
authors.affiliation: Surgery Department, Institut Claudius Regaud, 20-24 rue du pont Saint Pierre, 31052 Toulouse, France.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Martinez
authors.affiliation: Hôpital Paule de Viguier-CHU Toulouse, Service de Chirurgie Gynécologique, Pole de Gynécologie Obstétrique, 31059 Toulouse Cedex 9, France.
authors.forename: Fabien
authors.initials: F
authors.lastname: Vidal