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Transvaginal small bowel evisceration after cervical loop electrosurgical excision procedure: a case report
1Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan Province, P.R. China.
BMC Women'S Health
|September 19, 2023
Summary
Transvaginal small bowel evisceration is a rare complication of cervical loop electrosurgical excision procedure (LEEP). This case report details a young woman
Area of Science:
- Gynecology
- Surgical Complications
Background:
- Cervical loop electrosurgical excision procedure (LEEP) treats cervical intraepithelial neoplasia (CIN).
- LEEP is generally safe, but uterine perforation is a rare risk.
- Uterine perforation can lead to transvaginal small bowel evisceration.
Observation:
- A young woman developed transvaginal small bowel evisceration post-LEEP for CIN III.
- LEEP caused lacerations in the uterovesical peritoneum and cervical canal.
- Small intestine prolapsed into the vagina through these lacerations.
Findings:
- Successful reduction of prolapsed small bowel was achieved.
- The patient experienced a favorable prognosis after surgical intervention.
Implications:
- Highlights a rare but severe complication of LEEP.
- Emphasizes the importance of meticulous surgical technique during LEEP.
- Suggests prompt surgical management for transvaginal small bowel evisceration.
