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Peritonitis due to iatrogenic colpotomy after large loop excision of the transformation zone (LLETZ) in a patient with cervical intraepithelial neoplasia III: our experience of a rare case with review of the literature
1Department of Obstetrics and Gynecology, “Elena Venizelou” General Maternity Hospital, Athens, Greece
2Department of Obstetrics and Gynecology, “G. Chatzikosta” General State Hospital, Ioannina, Greece
*Corresponding Author(s): M. Varras E-mail: mnvarras@otenet.gr
A case of peritonitis as an unusual complication of LLETZ (large loop excision of the transformation zone) for the treatment of CIN III associated with unrecognized iatrogenic posterior colpotomy is presented. After the procedure, the patient developed fever 38.3 degrees C and diffused severe pelvic pain. The contributing factors, prevention and management of this complication are discussed. Also, the complications of cold knife cervical conization and LLETZ procedure are reviewed.
Cervical intraepithelial neoplasia; Treatment; Cervical cone biopsy; LLETZ; Complications; Peritonitis
M. Varras,C. Akrivis,A. Anastasiadis,G. Lekkas,G. Diakakis. Peritonitis due to iatrogenic colpotomy after large loop excision of the transformation zone (LLETZ) in a patient with cervical intraepithelial neoplasia III: our experience of a rare case with review of the literature. European Journal of Gynaecological Oncology. 2012. 33(2);214-216.
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