scholarly journals Delayed complications of intravaginal slingplasty multifilament tape: two case reports

2013 ◽  
Vol 27 (1) ◽  
pp. 7
Author(s):  
Sivakumar S. Balakrishnan
Keyword(s):  
Vaginal Bleeding ◽  
Case Reports ◽  
Suburethral Sling ◽  
Delayed Presentation ◽  
Intravaginal Slingplasty ◽  
Sling Surgery ◽  
Multifilament Tape ◽  
Delayed Complications ◽  
Attending Physician

We would like to present two cases of delayed complications of intravaginal slingplasty (IVS) suburethral sling in Penang, Malaysia. There were two patients who were referred to us for problems subsequent to suburethral sling surgery using the IVS sling. These patients were reviewed and subsequently treated. The first patient presented with a bleeding granuloma. She underwent surgery and intra operatively the granuloma was excised. On exploration there was remnant of the tape bilaterally. The tape was easily excised with traction. A diagnostic cystoscopy did not show any abnormality. The second patient presented with a severe sling exposure. This patient also had surgery to excise the sling. It was easily dislodged with traction and removed completely. There were pus collections on one side. On subsequent review both patients were well with no more vaginal bleeding or discharge. Both patients however remained continent. This report is to show IVS sling complications may present in different manner and the need for attending physician to be aware of these presentations. They should be aware of the delayed presentation of these complications.

Delayed presentation of postcaesarean section vesicouterine fistula repaired robotically

2021 ◽  
Vol 14 (1) ◽  
pp. e234902
Author(s):  
Edward Ramez Latif ◽  
Mohammed Kamil Quaraishi ◽  
Davon Mitchell ◽  
Edward Streeter
Keyword(s):  
Urinary Incontinence ◽  
Caesarean Section ◽  
Vaginal Bleeding ◽  
Delayed Presentation ◽  
Premenopausal Patient ◽  
Robotic Assisted ◽  
Vesicouterine Fistula ◽  
Flexible Cystoscopy ◽  
Symptomatic Anaemia ◽  
History Of

A premenopausal patient in her late forties presented with a 15-year history of urinary incontinence starting shortly after a caesarean section performed for her fourth delivery and more recently associated episodic light haematuria and passage of clots per vagina. The haematuria was intermittent over several months and associated with per-vaginal bleeding. She had symptomatic anaemia. Flexible cystoscopy and MRI showed a vesicouterine fistula. She underwent a robotic-assisted hysterectomy and multi-layered repair of the bladder with omental interposition. She remained in the hospital for 4 days, though recovered well and underwent catheter removal at 14 days following a normal cystogram. At 3 months, she was well with no incontinence or urinary symptoms. This case demonstrates the need for vigilance in assessing patients with persistent incontinence, particularly in the context of prior caesarean section. It highlights the feasibility of robotic surgery for correcting these defects in a society where minimally invasive surgery is becoming the norm, and cosmesis is a priority for patients.

scholarly journals Anatomical premises for the variability of the results of transobturator mid-urethral sling

2021 ◽  
Vol 9 (2) ◽  
pp. 64-73
Author(s):  
G. V. Kovalev ◽  
D. D. Shkarupa ◽  
N. D. Kubin ◽  
G. I. Nichiporuk ◽  
I. V. Gaivoronsky
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Soft Tissues ◽  
Original Method ◽  
Suburethral Sling ◽  
Pubic Bone ◽  
Sling Surgery ◽  
Anatomical Part

Introduction. The implantation of a synthetic sub-urethral sling is the main method of surgical correction of stress urinary incontinence (SUI). However, the investigation results of long-term effectiveness indicate the ambiguity of the surgery outcomes. In addition, the problem of pain in the perineum remains relevant for everyday practice. One of the important aspects in this matter may be a variant technique for installing a suburethral sling, including based on the anatomical variability of the small pelvis.Purpose of the study. To identify key anatomical factors that can negatively affect the effectiveness and safety of the environment of suburethral sling surgery for urinary incontinence in women.Materials and methods. The study consisted of 2 parts - anatomical and clinical. In the anatomical part of the study, a suburethral sling was implanted on 20 preparations of a female pelvis with a lower limb and preserved soft tissues. The clinical part of the study involved 50 patients with stress urinary incontinence. These patients underwent installation of a transobturator suburethral sling in two ways using the “inside-out” technique: using the standard “external landmarks” technique and using the proposed anatomical technique developed in the first part of the study. After visualization of the suburethral sling using the original method, the outcomes of the operations were assessed depending on the location of the sling in the patient's tissues.Results. In the anatomical part of the study, the most atraumatic method of suburethral sling implantation was determined by rotating the tool around the lower branch of the pubic bone. In the clinical part of the study, this method demonstrated a higher efficiency of the operation at a follow-up of 1 year, presumably due to the U-shaped angle of the «hammock» for the urethra, which is characteristic of the retropubic sling.Conclusion. Outcomes of operations for SUI depend, among other things, on the method of the suburethral sling implantation.

scholarly journals Leech Infestation in the Vulvar Region: Causes of Vaginal Bleeding in a Six years old Child

2021 ◽  
Vol 5 (2) ◽  
pp. 142-143
Author(s):  
Theodomir Sebazungu ◽  
Pascaline Kiota Kabungo ◽  
Emmanuel Manirakiza ◽  
Blaise Dushimiyimana
Keyword(s):  
Vaginal Bleeding ◽  
District Hospital ◽  
Case Reports ◽  
The Body ◽  
Topical Anesthetic ◽  
Present Case Report ◽  
Blood Sucking ◽  
Bed Capacity ◽  
The Tropics ◽  
Internal Body

Background: Leeches are hermaphroditic rare blood-sucking human endoparasitesof phylum Annelida and class Hirudinea. Leech infestation is a zoonotic disease acquired by drinking contaminated water, swimming in ponds and streams .1Epidemiology of leech bites in literature is limited and the majority of existing data are case reports from the tropics or subtropics.2–4 Leech bites can occur on various orifices of the body including internal body cavities and orifices, such as the uterus, rectum, urinary bladder, vulva, nasal cavity, peritoneal cavity, nasopharynx, oropharynx, oesophagus, trachea, bronchi and the vagina.5 Different chemicals for leech removal have been utilized and include anesthetics drugs like lidocaine and topical anesthetic spray. Salt, saline, vinegar, alcohol, and heat are also viable options. Of these, saltwater has been shown to be effective in causing the leech to relax and release.Vaginal bleeding resulting from leech bite is rare, but when it occurs, it may be of severe morbidity.2–4 In the present case report that happened at Kabaya district hospital, a six year old child with vaginal bleeding that turned out to be caused by vaginal leech infestation is presented. Kabaya district hospital is a rural hospital with 144-bed capacity and serves 188,902 inhabitants and is geographically difficult to access due to the lack of reliable roads and bridges, especially in the rainy season.

scholarly journals Misoprostol Induced Hyperpyrexia associated with Seizures in Postpartum Parturient: Rare Side Effect and its Management in Critical Care Settings

2021 ◽  
Author(s):  
Dheeraj Kapoor ◽  
Manju Sharma ◽  
Manpreet Singh ◽  
Shraddha Sinha ◽  
Binish Kathuria
Keyword(s):  
Critical Care ◽  
Side Effect ◽  
Postpartum Haemorrhage ◽  
Case Reports ◽  
Management Strategies ◽  
Delayed Presentation ◽  
Treatment And Prevention ◽  
Rare Side Effect ◽  
Cost Efficient ◽  
Line Drug

Misoprostol is a synthetic prostaglandin E1 analogue and has been reccommended as a safe, effective, easy to administer, cost efficient next in line drug after oxytocin, for the treatment and prevention of postpartum haemorrhage (PPH). Notwithstanding, it causes certain undesirable side effects compared to oxytocin such as nausea, vomiting, shivering, diarrhoea and transient fever. Transient pyrexia is commonly related with misoprostol administration, due to shift of hypothalamic set point. However, hyperpyrexia clubbed with seizures is a rare yet self-limiting side effect and requires prompt management strategies. There have been case reports describing fever following misoprostol administration but only few describing hyperpyrexia and even fewer describing with seizures. We report a case of hyperpyrexia associated with delayed presentation of generalised sezuires after administration of rectal misoprotol and its successful management in critical care settings.

A case of alpha-fetoprotein–producing adenocarcinoma of the endometrium with a hepatoid component as a potential source for alpha-fetoprotein in a postmenopausal woman

2006 ◽  
Vol 16 (3) ◽  
pp. 1442-1445
Author(s):  
K. Takeuchi ◽  
S. Kitazawa ◽  
S. Hamanishi ◽  
M. Inagaki ◽  
K. Murata
Keyword(s):  
Postmenopausal Woman ◽  
Vaginal Bleeding ◽  
Pap Smear ◽  
Case Reports ◽  
Unknown Origin ◽  
Serum Levels ◽  
Alpha Fetoprotein ◽  
Endometrioid Adenocarcinoma ◽  
Eosinophilic Cytoplasm ◽  
Abnormal Vaginal Bleeding

Although case reports of alpha-fetoprotein (AFP)–producing adenocarcinoma other than hepatocellular carcinoma have gradually increased in number, AFP-producing adenocarcinoma of the endometrium is very rare. The patients universally complain of abnormal vaginal bleeding. The patient presented with complaints of epigastric discomfort. No vaginal bleeding was observed. Serum AFP concentration was 453 ng/mL, and lens culinaris agglutinin–reactive AFP percentage of total AFP was increased to 67%. Radiologic imaging and endoscopy did not provide evidence of any primary carcinoma in the liver and gastrointestinal tract. To investigate the unknown origin of high AFP, Pap smear of the endometrium followed by fractional curettage was performed and revealed adenocarcinoma of the endometrium. Radical hysterectomy with pelvic lymph node dissection and partial omentectomy was performed. Histologic study showed a mixture of major AFP-negative endometrioid adenocarcinoma and minor medullary proliferation of the AFP-positive hepatoid adenocarcinoma cells with eosinophilic cytoplasm and hyaline globules. After the surgery followed by four courses of weekly carboplatin and paclitaxel administration, serum levels of AFP dropped into normal range. The possible existence of AFP-producing adenocarcinoma of the endometrium should be considered in a postmenopausal woman even if there is no vaginal bleeding, when AFP-producing tumor is clinically suspected and the imaging studies fail to confirm the diagnosis.

scholarly journals Bee sting of the cornea: A running case report

2015 ◽  
Vol 74 (1) ◽  
Author(s):  
Roland Höllhumer ◽  
Trevor R. Carmichael
Keyword(s):  
Case Report ◽  
Present Report ◽  
Case Reports ◽  
Treatment Options ◽  
Delayed Presentation ◽  
Ocular Complications ◽  
Bee Sting

Bee stings that present with ocular sequelae are infrequently reported in the literature. The present report is of a retained corneal bee stinger with a delayed presentation. A review of case reports reveals a number of potential ocular complications of bee stings. The ocular sequelae and treatment options are reviewed.

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