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Tapeworm infection and secondary hemorrhagic shock found after cervical cancer surgery: a case report

  • Huan Chen1
  • Lin Li2
  • Hui Liu1,*,

1Department of Anesthesiology, West China Second University Hospital, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, 610041 Chengdu, Sichuan, China

2Department of Gynecology, West China Second University Hospital, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, 610041 Chengdu, Sichuan, China

DOI: 10.22514/ejgo.2023.015 Vol.44,Issue 1,February 2023 pp.119-122

Submitted: 31 July 2022 Accepted: 15 November 2022

Published: 15 February 2023

*Corresponding Author(s): Hui Liu E-mail:


Radical hysterectomy is an essential component of surgery for early-stage cervical cancer, and secondary hemorrhagic shock due to infection and vaginal stump necrosis after laparoscopic hysterectomy is very rare. Here we report a tapeworm infection and secondary hemorrhagic shock in a patient with cervical cancer after radical hysterectomy. On day two after cervical cancer surgery, this patient was found to have a long-term intestinal tapeworm infection and was discharged on postoperative day 11 after deworming on postoperative day 4. The patient entered the emergency operating room for hemorrhagic shock on day 15 after cervical cancer surgery; after hemodynamic resuscitation, gauze tamponade, and anti-infective treatment, the patient’s massive blood loss temporarily stopped. Two days later, the patient’s vaginal stump bled again repeatedly. Eventually, after 17 hours of surgery and hemodynamic resuscitation, the patient’s wound stopped bleeding profusely with ligation of the right internal iliac artery and branch arteries. This patient had a rare tapeworm infection that presented preoperatively but was detected only after cervical cancer surgery. We considered that preoperative anemia, long surgery time, surgical trauma, and intraoperative blood loss have significantly suppressed the patient’s immune response. A long-term intestinal tapeworm infection increased her susceptibility to bacteria, resulting in secondary pathogenic infection and postoperative blood loss. We advised that if a patient has combined parasitic infection and recurrent fever after a hysterectomy, it is necessary to prolong the hospital stay time, improve anemia, and increase immunity until the condition stabilizes before discharge.


Radical cervical squamous carcinoma; Tapeworm disease; Hemorrhagic shock; Case report

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Huan Chen,Lin Li,Hui Liu. Tapeworm infection and secondary hemorrhagic shock found after cervical cancer surgery: a case report. European Journal of Gynaecological Oncology. 2023. 44(1);119-122.


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