Rectal injury associated with insertion of a vaginal delineator tube during total laparoscopic hysterectomy: A case report and review of the literature

Abstract We present a case of rectal injury during total laparoscopic hysterectomy (TLH) associated with placement of a vaginal delineator tube. The patient was a 43-year-old virgin woman who presented with hypermenorrhea secondary to a large submucosal leiomyoma and underwent TLH. On insertion of a...

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Bibliographic Details
Published in:Gynecology and minimally invasive therapy 2014-05, Vol.3 (2), p.54-56
Main Authors: Asai, Satoshi, Ishimoto, Hitoshi, Okuno, Satsuki, Yabuno, Akira, Asada, Hironori, Lin, Bao-Liang
Format: Article
Language:English
Subjects:
Obstetrics and Gynecology
Rectal injury
Total laparoscopic hysterectomy
Vaginal delineator tube
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Summary:Abstract We present a case of rectal injury during total laparoscopic hysterectomy (TLH) associated with placement of a vaginal delineator tube. The patient was a 43-year-old virgin woman who presented with hypermenorrhea secondary to a large submucosal leiomyoma and underwent TLH. On insertion of a vaginal delineator tube, the boundary between the posterior vaginal fornix and the rectum was misjudged and the rectum was cut. The patient subsequently required transvaginal repair and a temporary ileostomy. With more widespread use of a vaginal delineator tube in TLH, sharing this rare experience with our colleagues will minimize such a complication.
ISSN:2213-3070
DOI:10.1016/j.gmit.2014.02.003