Bowel perforation during retropubic sling procedure

Kristin E. Rooney, Hilary J. Cholhan

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Backgrond: 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.

Original languageEnglish (US)
Pages (from-to)429-431
Number of pages3
JournalObstetrics and gynecology
Volume115
Issue number2 SUPPL. 2 PART. 2
DOIs
StatePublished - Feb 1 2010

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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