Peritonitis due to iatrogenic colpotomy after large loop excision of the transformation zone (LLETZ) in a patient with cervical intraepithelial neoplasia III: our experience of a rare case with review of the literature

A case of peritonitis as an unusual complication of LLETZ (large loop excision of the transformation zone) for the treatment of CIN III associated with unrecognized iatrogenic posterior colpotomy is presented. After the procedure, the patient developed fever 38.3 degrees C and diffused severe pelvic...

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Bibliographic Details
Published in:European journal of gynaecological oncology 2012, Vol.33 (2), p.214-216
Main Authors: Varras, M, Akrivis, C, Anastasiadis, A, Lekkas, G, Diakakis, G
Format: Article
Language:English
Subjects:
Adult
Cervical Intraepithelial Neoplasia - surgery
Female
Humans
Peritonitis - etiology
Postoperative Complications - etiology
Uterine Cervical Neoplasms - surgery
Vagina - injuries
Young Adult
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Summary:A case of peritonitis as an unusual complication of LLETZ (large loop excision of the transformation zone) for the treatment of CIN III associated with unrecognized iatrogenic posterior colpotomy is presented. After the procedure, the patient developed fever 38.3 degrees C and diffused severe pelvic pain. The contributing factors, prevention and management of this complication are discussed. Also, the complications of cold knife cervical conization and LLETZ procedure are reviewed.
ISSN:0392-2936