Management of pelvic organ prolapse of ruptured and extruded bladder from a rare complication of vaginal hysterectomy: a case presentation

BMC Surgery

Piao-Piao Ye¹  Xiao-Jian Yan¹  Hong-Qin Zhao¹  Feng-Feng Xie²  Hui Xie³  Yu-Feng Wang³  Fang-Yi Zhang³  Hai-Hong Jiang³  Yasmeen Bano³ 

[1] Department of Gynecology, The First Affiliated Hospital of Wenzhou Medical University;Department of Obstetrics, The First Affiliated Hospital of Wenzhou Medical University;Department of Urology, The First Affiliated Hospital of Wenzhou Medical University;

关键词: Urinary incontinence;    Pelvic organ prolapse;    Bladder extrusion;    Vaginal hysterectomy;    Suprapubic cystostomy;   

DOI  :  10.1186/s12893-021-01047-z

来源: DOAJ

【 摘 要 】

Abstract Background The prolapse of a ruptured and extruded bladder after vaginal hysterectomy is rare in clinical practice. We report the case of a significant mass that prolapsed from the vagina after a vaginal hysterectomy in a multiparous postmenopausal woman. Case presentation A 67-year old multiparous postmenopausal Chinese woman was found to have a significant mass extruding from the vagina after a vaginal hysterectomy. The mass was a ruptured and everted bladder, and the diagnosis was confirmed after physical and imaging examinations and urethral catheterization. The patient underwent an emergency operation for mass reduction, bladder repair, and partial colpocleisis under general anesthesia. She recovered without prolapse or urinary drainage complications after 35 months of follow-up. Conclusions The present case serves as a guide for the management of patients with pelvic organ prolapse. The condition of patients should be carefully evaluated before surgery, and individualized operation should be performed. Careful postoperative follow-up is crucial for the timely exclusion of complications, especially in elderly patients with persistently increased abdominal pressure.

【 授权许可】

Unknown