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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

  • M. Varras1,*,
  • C. Akrivis2
  • A. Anastasiadis1
  • G. Lekkas1
  • G. Diakakis1

1Department of Obstetrics and Gynecology, “Elena Venizelou” General Maternity Hospital, Athens, Greece

2Department of Obstetrics and Gynecology, “G. Chatzikosta” General State Hospital, Ioannina, Greece

DOI: 10.12892/ejgo201202214 Vol.33,Issue 2,March 2012 pp.214-216

Published: 10 March 2012

*Corresponding Author(s): M. Varras E-mail: mnvarras@otenet.gr

Abstract

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.

Keywords

Cervical intraepithelial neoplasia; Treatment; Cervical cone biopsy; LLETZ; Complications; Peritonitis

Cite and Share

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.

References

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