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Hemoperitoneum: a complication of loop electrosurgical excision procedure.

Angela Cho1, Sunwha Park1, Soyun Park2

  • 1Department of Obstetrics and Gynecology, Ewha Womans University Mokdong Hospital, Seoul, Korea.

Obstetrics & Gynecology Science
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Summary

Loop electrosurgical excision procedure (LEEP) can cause rare uterine perforations leading to hemoperitoneum. This case highlights the importance of vigilance for unexpected complications following LEEP for cervical intraepithelial neoplasia.

Keywords:
ConizationHemoperitoneumLaparoscopy

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Area of Science:

  • Gynecology
  • Surgical Procedures
  • Patient Safety

Background:

  • Loop electrosurgical excision procedure (LEEP) is a standard treatment for cervical intraepithelial neoplasia.
  • While generally safe, LEEP carries a risk of rare but serious complications.
  • Uterine perforation and subsequent hemoperitoneum are potential, though infrequent, adverse events.

Observation:

  • A case of hemoperitoneum was observed following a LEEP procedure.
  • Diagnostic laparoscopy confirmed significant blood collection in the pelvic cavity.
  • Two small defects were identified in the uterus, indicative of perforation.

Findings:

  • The patient experienced hemoperitoneum secondary to uterine perforation post-LEEP.
  • Surgical repair of the uterine defects was successfully performed.
  • The patient demonstrated a positive recovery following the intervention.

Implications:

  • This case underscores the necessity of considering rare complications like uterine perforation after LEEP.
  • Awareness of potential hemoperitoneum is crucial for prompt diagnosis and management.
  • Reinforces the importance of careful surgical technique and post-operative monitoring in gynecological procedures.