Obstetrics & Gynecology

Skip Navigation LinksHome > February 2010 - Volume 115 - Issue 2, Part 2 > Bowel Perforation During Retropubic Sling Procedure

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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e3181c856fb
Case Reports

Bowel Perforation During Retropubic Sling Procedure

Rooney, Kristin E. MD; Cholhan, Hilary J. MD

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Abstract

BACKGROUND: Bowel perforation is a rare complication of tension-free vaginal tape (TVT)–type sling procedures and has been reported in patients with a previous history of abdominal or pelvic surgery.

CASE: A 77-year-old woman with no prior history of abdominal or pelvic surgery underwent elective surgery for pelvic organ prolapse with a vaginal vault colpocleisis and suburethral sling. On postoperative day 2, a computed tomography scan performed for suprapubic discomfort showed an enterocutaneous fistula, which was treated surgically.

CONCLUSION: Bowel perforation is a complication of TVT-type slings in patients with or without prior abdominal or pelvic surgery. High clinical suspicion, prompt identification, and surgical intervention allowed for a favorable outcome in this case.

© 2010 The American College of Obstetricians and Gynecologists

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