scholarly journals Enterocutaneous fistula: a rare complication following total abdominal hysterectomy

2014 ◽  
Vol 2 (4) ◽  
pp. 205-207
Author(s):  
Archana Shakya ◽  
Meena Thapa ◽  
Saraswati M Padhye
Keyword(s):  
Rare Complication ◽  
Enterocutaneous Fistula ◽  
Gastrointestinal Surgery ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Spontaneous Closure ◽  
Adjacent Organ

Postoperative enterocutaneous fistula can occur after any gastrointestinal surgery. It is however uncommon following gynaecologic procedures. Although adjacent organ fistulae such as the rectovaginal and vesico-vaginal fistulae could be seen after hysterectomy, enterocutaneous fistulae are rarely encountered. We report a case of enterocutaneous fistula on twenty second post-operative day following total abdominal hysterectomy with bilateral salphingo-oopherectomywith partial omentectomy. The patient was managed conservatively which resulted in spontaneous closure of the fistula.  DOI: http://dx.doi.org/10.3126/jkmc.v2i4.11791Journal of Kathmandu Medical CollegeVol. 2, No. 4, Issue 6, Oct.-Dec., 2013Page : 205-207

scholarly journals Subacute uterine inversion following an induced abortion in a teenage girl: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Asiphas Owaraganise ◽  
Leevan Tibaijuka ◽  
Joseph Ngonzi
Keyword(s):  
Rare Complication ◽  
Hypovolemic Shock ◽  
Lower Abdominal Pain ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Unsafe Abortion ◽  
Axillary Temperature ◽  
Uterine Inversion ◽  
History Of ◽  
Failed Surgery

Abstract Background Subacute uterine inversion is a very rare complication of mid-trimester termination of pregnancy that should be considered in a situation where unsafe abortion occurs. Case presentation We present a case of subacute uterine inversion complicated by hypovolemic shock following an unsafe abortion in a 17-year-old nulliparous unmarried girl. She presented with a history of collapse, mass protruding per vagina that followed Valsalva, and persistent lower abdominal pain but not vaginal bleeding. This followed her second attempt to secretly induce an abortion at 18 weeks amenorrhea. On examination, she was agitated, severely pale, cold on palpation, with an axillary temperature of 35.8 °C, a tachycardia of 143 beats per minute and unrecordable low blood pressure. The abdomen was soft and non-tender with no palpable masses; the uterine fundus was absent at its expected periumbilical position and cupping was felt instead. A fleshy mass with gangrenous patches protruding in the introitus was palpated with no cervical lip felt around it. We made a clinical diagnosis of subacute uterine inversion complicated with hypovolemic shock and initiated urgent resuscitation with crystalloid and blood transfusion. Non-operative reversal of the inversion failed. Surgery was done to correct the inversion followed by total abdominal hysterectomy due to uterine gangrene. Conclusion Our case highlights an unusual presentation of subacute uterine inversion following unsafe abortion. This case was managed successfully but resulted in significant and permanent morbidity.

scholarly journals Iatrogenic bladder injury: A single institution’s ten-year experience in treatment and outcome 1999-2009, Kuala Lumpur, Malaysia

2011 ◽  
pp. 215-218
Author(s):  
Christopher CK Ho ◽  
Hans Alexander ◽  
Praveen Singam ◽  
Lee Boon Cheok ◽  
Zulkifli MD Zainuddin
Keyword(s):  
Caesarean Section ◽  
Retrospective Review ◽  
Enterocutaneous Fistula ◽  
Case Series ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Caesarian Section ◽  
Bladder Injury ◽  
Absorbable Sutures ◽  
Bladder Injuries

Introduction: This case series is a retrospective review of iatrogenic bladder injuries treated at our institution Universiti Kebangsaan Malaysia, Medical Centre, over a ten-year period, from 1999 to 2009. Materials and methods: A retrospective review of the operating theater database yielded the names and registration numbers of patients who underwent operative repair of bladder injuries. Patients who sustained bladder injuries due to non-surgical reasons (such as traumatic bladder injuries due to pelvic fractures, blunt trauma or penetrating injuries to the pelvis) were excluded. Results: There were 12 cases of iatrogenic bladder injury treated during this time. A total of eight injuries occurred during gynaecological surgery. Five injuries occurred during lower segment caesarean section, two injuries during total abdominal hysterectomy and bilateral salpingo-oopherectomy, and a single injury during Burch colposuspension. Four out of the five injuries during caesarian section had a history of previous caesarian section. Of the four remaining non-gynaecological related injuries, two injuries occurred during hernioplasty, one during exploration of an enterocutaneous fistula and the other was during laparoscopic appendicectomy. Conclusion: Iatrogenic bladder injury should be anticipated in patients undergoing caesarean section who have had multiple previous caesarean sections. Iatrogenic injuries should be identified intra-operatively to enable early repair and the best outcome. These injuries were adequately assessed by ascending cystography. Continuous repair with absorbable sutures together with perivesicle drainage and bladder catheterization produces good outcome.

scholarly journals Squamous Cell Carcinoma Arising in a Mature Cystic Teratoma

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Suna Avcı ◽  
Fatih Selcukbiricik ◽  
Ahmet Bilici ◽  
Gülkan Özkan ◽  
Ayse Ayşim Özağarı ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Rare Complication ◽  
Cystic Teratoma ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Mature Cystic Teratoma ◽  
Histopathological Diagnosis ◽  
The Right

Introduction. Malignant transformation in a mature cystic teratoma of the ovary is a rare complication. Squamous cell carcinoma is the most common transformation. We describe a new case of squamous cell carcinoma arising in a mature cystic teratoma.Case Report. A premenopausal 52-year-old female patient is diagnosed with vaginal bleeding. According to examination made on the women and the pelvic scanning, 7 cm mass is found on the right adnexa of the patient. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, pelvic lymph node dissection, and debulking were the treatments completed on the patient. According to histopathological diagnosis, squamous cell carcinoma arising in a mature cystic teratoma is diagnosed as a reason for the mass in the right adnexa of the patient.Conclusion. The prognosis of the malign transformation of MCT depends on surgery stage; however it is extremely poor. The patient should receive chemotherapy regardless of stage. We have decided to administer second cycle carboplatin and paclitaxel treatments on the patient.

scholarly journals Ruptured pyomyoma – Rare complication of post-uterine artery embolization: A case report

2021 ◽  
Vol 11 ◽  
pp. 67
Author(s):  
Sai Swarupa Reddy Vulasala ◽  
Dheeraj Reddy Gopireddy ◽  
Khaled Mohamed ◽  
Chandana Lall
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Rare Complication ◽  
Invasive Procedure ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Vascular Supply ◽  
High Morbidity ◽  
Artery Embolization ◽  
Uterine Arteries

Leiomyomas, also termed as fibroids, are benign smooth, muscle neoplasms seen in 70–80% of women by the age of 50 years. Uterine artery embolization (UAE) is a minimally invasive procedure that involves cessation of vascular supply to the fibroids, by infusion of gelatinous microspheres into the uterine arteries. Pyomyoma is a suppurative leiomyoma, secondary to infection of necrotic tissue. It is an infrequent complication of uterine artery embolization (UAE). Pyomyoma can lead to sepsis, peritonitis, and respiratory distress syndrome resulting in high morbidity and mortality. Due to its rarity, high suspicion is crucial in the diagnosis, and prompt treatment is recommended to reduce mortality. Ultrasound, computed tomography, and magnetic resonance imaging assist in diagnosis. We present a case of a 44-year-old woman with ruptured pyomyoma, following an UAE intervention. The patient was treated with total abdominal hysterectomy and salpingo-oophorectomy along with peritoneal irrigation and drainage.

scholarly journals Uterine Rupture in Pregnancy following Fall from a Motorcycle: A Horrid Accident in Pregnancy—A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Wondimagegnehu Sisay Woldeyes ◽  
Demisew Amenu ◽  
Hailemariam Segni
Keyword(s):  
Uterine Rupture ◽  
Rare Complication ◽  
Total Abdominal Hysterectomy ◽  
Developed Countries ◽  
Abdominal Hysterectomy ◽  
Transportation Safety ◽  
Perinatal Morbidity ◽  
Unique Case ◽  
Preventable Complication ◽  
In Pregnancy

Uterine rupture is one of the most catastrophic complications during pregnancy. It is a rare complication in developed countries but a frequent cause of maternal and perinatal morbidity and mortality in Africa. Uterine rupture occurs in 1.6% of patients suffering blunt abdominal trauma. Here we report a unique case of complete fundal rupture of the unscarred uterus following fall from motorcycle in 39-week-pregnant mother who was managed with total abdominal hysterectomy and left salpingo-oophorectomy and survived, though fetus died before intervention. We also reviewed similar cases reported from different parts of Africa. This is a preventable complication had the woman been properly instructed on transportation safety during her antenatal care visits.

scholarly journals Uterine Inversion in Postmenopausal Woman: A Rare Entity

2013 ◽  
Vol 1 (2) ◽  
pp. 88-90 ◽  
Author(s):  
Tasneem Ashraf ◽  
Samia Haroon
Keyword(s):  
Postmenopausal Woman ◽  
Physical Examination ◽  
Old Age ◽  
South Asian ◽  
Rare Complication ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Rare Entity ◽  
Vaginal Route ◽  
Uterine Inversion

ABSTRACT Uterine inversion in old age is a rare complication. Submucosal fibroid or polyp is mostly the cause of nonpuerperal inversion. Diagnosis can be made on physical examination but it may be difficult. Management consists of manual reposition of uterus or surgery either through abdominal or vaginal route. We report a case of nonpuerperal uterine inversion in an unmarried nulliparous postmenopausal Baloch woman having lemon size submucosal fibroid and presented with complete prolapsed inversion. Diagnosis was made clinically and confirmed at laparotomy. At laparotomy inversion was corrected first then total abdominal hysterectomy with bilateral salpingooophorectomy was carried out. How to cite this article Ashraf T, Haroon S. Uterine Inversion in Postmenopausal Woman: A Rare Entity. J South Asian Feder Menopause Soc 2013;1(2):88-90.

scholarly journals Subinvolution of the placental site as the cause of hysterectomy in young woman

2021 ◽  
Vol 14 (2) ◽  
pp. e238945
Author(s):  
Olga Triantafyllidou ◽  
Stavroula Kastora ◽  
Irini Messini ◽  
Dimitrios Kalampokis
Keyword(s):  
Young Woman ◽  
Young Women ◽  
Postpartum Haemorrhage ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
Fertility Sparing ◽  
Placental Site ◽  
Retained Products

Subinvolution of placental sites (SPSs) is a rare but severe cause of secondary postpartum haemorrhage (PPH). SPS is characterised by the abnormal persistence of large, dilated, superficially modified spiral arteries in the absence of retained products of conception. It is an important cause of morbidity and mortality of young women. In this study, we present a case of secondary PPH in a young woman after uncomplicated caesarean delivery who was deemed clinically unstable, and finally, underwent emergent total abdominal hysterectomy. We reviewed the literature with an emphasis on the pathophysiology of this situation. Treatment of patients with SPS includes conservative medical therapy, hysterectomy and fertility-sparing percutaneous embolotherapy.

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