scholarly journals Vaginal Evisceration: An Unexpected Complication of Conization

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Ghassani ◽  
Benoit Andre ◽  
Caroline Simon-Toulza ◽  
Yann Tanguy le Gac ◽  
Alejandra Martinez ◽  
...  
Keyword(s):  
Case Report ◽  
Uterine Artery ◽  
Pelvic Surgery ◽  
High Grade ◽  
Unique Case ◽  
Vaginal Evisceration ◽  
Transformation Zone ◽  
Transvaginal Approach ◽  
Large Loop ◽  
Peritoneal Washing

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.

scholarly journals Sepsis after uterine artery embolization-assisted termination of pregnancy with complete placenta previa: A case report

2017 ◽  
Vol 46 (1) ◽  
pp. 546-550 ◽  
Author(s):  
Yinfeng Wang ◽  
Xiufeng Huang
Keyword(s):  
Severe Sepsis ◽  
Case Report ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Placenta Previa ◽  
Termination Of Pregnancy ◽  
High Grade ◽  
Artery Embolization ◽  
High Grade Fever ◽  
Emergency Cesarean

Uterine artery embolization (UAE)-assisted induction of labor is an alternative method of managing pregnant women with complete placenta previa (CPP). Sepsis secondary to UAE, although rare, is a serious complication. We herein present a case of severe sepsis following UAE-assisted termination of a pregnancy at 27 gestational weeks in a woman with CPP. The woman developed a high-grade fever and elevated inflammatory indices following UAE. She did not recover until the infected tissue was removed by emergency cesarean section. This case suggests that the increasing use of UAE for termination of pregnancy in women with CPP requires awareness regarding the possibility of serious sepsis associated with this procedure.

Human Papillomavirus Detection by Hybrid Capture II and Residual or Recurrent High-Grade Squamous Cervical Intraepithelial Neoplasia after Large Loop Excision of the Transformation Zone (LLETZ)

2005 ◽  
Vol 91 (2) ◽  
pp. 188-192 ◽  
Author(s):  
Luís Otávio Sarian ◽  
Sophie Françoise Mauricette Derchain ◽  
Denise da Rocha Pitta ◽  
Liliana Aparecida Angelo Andrade ◽  
Sirlei Siani Moráis ◽  
...  
Keyword(s):  
Cervical Intraepithelial Neoplasia ◽  
Dna Detection ◽  
Intraepithelial Neoplasia ◽  
High Grade ◽  
Transformation Zone ◽  
Hybrid Capture ◽  
Hpv Dna ◽  
Large Loop ◽  
Gynecological Examination

Aims and background The purpose of this study was to assess the association between highly-oncogenic types HPV DNA detection by Hybrid Capture II (HCII) and residual or recurrent high-grade cervical intraepithelial neoplasia (CIN 2 or 3) during the follow-up of women submitted to large loop excision of the transformation zone (LLETZ). Study design In this cohort study, 94 women submitted to LLETZ because of CIN 2 or 3 between March 2001 and September 2002 were followed up twice yearly until September 2003. Follow-up visits consisted of an interview regarding clinical, social and demographic characteristics complemented with gynecological examination with specimen collection for Pap test and HCII and colposcopy. Eighty-one patients attended the first visit (mean 4.8 months, range 3-6) and 75 the second visit (mean 10.9 months, range 7-17 months). McNemar's test to assess the variation of HPV DNA detection following LLETZ, odds ratios (OR) to evaluate the correlation between HPV DNA positivity and residual/recurrent CIN during follow-up, and logistic regression to assess the risk of residual/recurrent CIN were used. Results There was a strong and significant reduction in HPV detection after LLETZ ( P <0.001). HPV DNA detection was correlated with residual/recurrent CIN at the first (OR = 103.4; 95% CI 5.5 to 1961.2) and second (OR = 12.7; 95% CI 1.1 to 345.5) follow-up visits. Multivariate analysis showed HPV persistence as a stand-alone risk factor for residual/recurrent CIN (OR = 50.3; 95% CI 3.8 to 663.1). Conclusions High risk HPV DNA detection decreased substantially after CIN treatment with LLETZ, but HPV persistence was strongly correlated with residual/recurrent CIN.

Evaluation of the Combination of Cytology and Hybrid Capture to Safely Predict the High-Grade Lesion Status of Patients Treated with Conization with Large Loop Excision of the Transformation Zone

2011 ◽  
Vol 55 (5) ◽  
pp. 421-425 ◽  
Author(s):  
Maria Teresa Roncaglia ◽  
Maricy Tacla ◽  
Eduardo Vieira da Motta ◽  
Hélio Caiaffa ◽  
Alexandre Ab’Saber ◽  
...  
Keyword(s):  
High Grade ◽  
Transformation Zone ◽  
Hybrid Capture ◽  
Large Loop ◽  
High Grade Lesion

Risk Factors of Post-Large Loop Excision of the Transformation Zone Recurrent High-Grade Cervical Intraepithelial Lesion

2019 ◽  
Vol 23 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Emilie Demarquet ◽  
Julien Mancini ◽  
Lise Preaubert ◽  
Jean Gondry ◽  
Julien Chevreau ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Grade ◽  
Transformation Zone ◽  
Large Loop ◽  
Cervical Intraepithelial Lesion ◽  
Intraepithelial Lesion

High-Grade Pelvic Osteosarcoma With Intravascular Extension to the Right Side of the Heart: A Case Report and Review of the Literature

2005 ◽  
Vol 129 (2) ◽  
pp. 241-243
Author(s):  
Jigna C. Jani ◽  
Malek Massad ◽  
Jacques Kpodonu ◽  
Victoria Alagiozian-Angelova ◽  
Grace Guzman
Keyword(s):  
Case Report ◽  
Right Ventricle ◽  
Rare Case ◽  
Femoral Vein ◽  
High Grade ◽  
Review Of The Literature ◽  
Tumor Embolus ◽  
Unique Case ◽  
High Grade Osteosarcoma ◽  
The Right

Abstract We describe a rare case of high-grade osteosarcoma with intravascular extension to the right atrium and right ventricle in a 23-year-old woman. Osteosarcomas rarely metastasize to the heart, and only a few cases have been reported in the literature thus far. Diagnoses in some of these cases were made during investigation for severe cardiac failure and in most of these cases at autopsy. We describe a unique case of intravascular extension of the tumor embolus in a cordlike fashion from the left femoral vein to the right side of the heart that morphologically resembled a chondrosarcoma.

scholarly journals Human Papilloma Virus Persistence after Cone Excision in Women with Cervical High Grade Squamous Intraepithelial Lesion: A Prospective Study

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Laurențiu Pirtea ◽  
Dorin Grigoraş ◽  
Petru Matusz ◽  
Marilena Pirtea ◽  
Lavinia Moleriu ◽  
...  
Keyword(s):  
Prospective Study ◽  
Pap Smear ◽  
Hpv Infection ◽  
High Grade ◽  
Transformation Zone ◽  
Large Loop ◽  
Persistence Rate ◽  
Intraepithelial Lesion ◽  
A Prospective Study ◽  
Intraepithelial Lesions

Background. Persistent human papillomavirus (HPV) infection is a necessary event in cervical cancer tumorigenesis. Our objectives were to estimate the rate of HPV infection persistence after large loop excision of the transformation zone (LEEP) in patients with high grade squamous intraepithelial lesions (HSIL) and to investigate if HPV persistence is type related.Methods. We conducted a prospective study on 89 patients with HSIL treated with LEEP. DNA HPV was performed before surgery and at 6, 12, and 18 months after LEEP.Results. Four patients were excluded from the study. The HPV persistence in the remaining 85 patients was 32.95% (6 months), 14.12% (12 months), and 10.59% (18 months). Type 16 had the highest persistence rate, 23.5% (6 months), 11.8% (12 months), and 8.2% (18 months). Coinfection was found to be 54.12% before LEEP and 18.8% (6 months), 4.7% (12 months), and 3.5% (18 months) after LEEP. The rate of coinfections including type 16 was 46.83% of all coinfections. Coinfection including type 16 was not correlated with higher persistence rate compared to infection with type 16 only.Conclusions. HPV infection is not completely eradicated by LEEP in patients with HSIL lesion on PAP smear. HPV persistence after LEEP is influenced by HPV type. HPV type 16 has the highest persistence rate.

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