Anterior enterocele immediately after cystectomy: A case report.
Martius labial fat pad flap
anterior enterocele
cystectomy
enterocele
mesh repair
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
31
03
2020
revised:
09
07
2020
accepted:
30
07
2020
pubmed:
21
8
2020
medline:
22
6
2021
entrez:
22
8
2020
Statut:
ppublish
Résumé
An enterocele is a peritoneal herniation through or into the vagina, typically as a posterior enterocele, which develops in the rectovaginal space (pouch of Douglas or cul-de-sac). An anterior enterocele in the vesicovaginal space is a rare condition, but a possible complication after cystectomy or hysterectomy. Herein, we report a rare case of anterior enterocele after cystectomy, which required semi-urgent intervention. The patient was a 78-year-old woman (gravida 2, para 2) who underwent laparoscopic radical cystectomy for bladder carcinoma 3 months earlier. Vaginal examination showed a large stage-3 anterior enterocele without the covering vaginal wall. A transvaginal surgery was performed to repair the vagina. Mesh and Martius flaps were needed to repair the vaginal defect. In conclusion, an anterior enterocele must be suspected when pelvic organ prolapse occurs after cystectomy, and surgical repair should be performed as soon as possible because an enterocele that lacks vaginal wall covering is at high risk of rupture.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
2446-2449Informations de copyright
© 2020 Japan Society of Obstetrics and Gynecology.
Références
Nichols DH. Types of enterocele and principles underlying choice of operation for repair. Obstet Gynecol 1972; 40: 257-262.
Stav K, Dwyer PL, Rosamila A, Lim YN, Alcalay M. Transvaginal pelvic organ prolapse repair of anterior enterocele following cystectomy in females. Int Urogynecol J Pelvic Floor Dysfunct 2009; 20: 411-415.
Bump RC, Mattiasson A, Bo K et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996; 175: 10-17.
Swift S. Classification and epidemiology of pelvic organ prolapse. In: Cardozo L, Staskin DR (eds). Textbook of Female Urology and Urogynecology, 4th edn. Boca Raton, FL: CRC Press, 2017; p918-p926.
Lee D, Dillon BE, Zimmern PE. Martius labial fat pad procedure: Technique and long-term outcomes. Int Urogynecol J 2015; 26: 1395-1396.
Tulikangas PK, Lukban JC, Walters MD. Anterior enterocele: A report of three cases. Int Urogynecol J Pelvic Floor Dysfunct 2004; 15: 350-352.