Case of vaginal cuff dehiscence and small bowel evisceration after laparoscopic radical cystectomy

IJU Case Reports

article

Satoru Meguro¹  Yusuke Kirihana¹  Tomoyuki Kumekawa¹  Masato Kobayashi¹  Hiroshi Kameoka¹ 

[1] Department of Urology, Hoshi General Hospital

关键词: invasive bladder cancer;    laparoscopic radical cystectomy;    small bowel evisceration;    vaginal cuff dehiscence;    vaginal uterosacral ligament suspension;   

DOI  :  10.1002/iju5.12346

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

Introduction Vaginal cuff dehiscence and small bowel evisceration after laparoscopic radical cystectomy, although rare, can be a critical complication. However, little has been reported about it by urologists. Case presentation A 79-year-old woman underwent laparoscopic radical cystectomy for invasive bladder carcinoma. Thirteen months postoperatively, she experienced vaginal cuff dehiscence and small bowel evisceration, and underwent emergency surgery. Intraoperatively, we detached the vaginal apex from the surrounding tissue to lengthen it and performed vaginal uterosacral ligament suspension, with no subsequent recurrence. Conclusion Urologists should pay attention to vaginal cuff dehiscence and small bowel evisceration after laparoscopic radical cystectomy in female patients. In this case, the short vaginal length without vaginal uterosacral ligament suspension might have led to vaginal dehiscence.

【 授权许可】

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