Early Invasive Cancer Cervix, with Meckel’s Diverticulum and Right Pelvic Kidney

Abstract

Introduction

Radical hysterectomy in early invasive cancer cervix is a good procedure in expert hands, giving excellent survival rates. Rarely, surprise findings detected intraoperatively change the course of surgery and are likely to produce dreadful complications.

Method

I hereby present a diagnosed case of early invasive cervical cancer, Stage 11A; in a 55-year-old multiparous female, who underwent radical type 11 hysterectomy with bilateral salpingo-oophorectomy and bilateral pelvic lymphadenectomy, in our institute. Surprise intraoperative findings like pelvic kidney on right and a Meckel’s diverticulum adherent to right adnexa were noted. Adhesiolysis was followed by radical surgery. Immediate post-operative period was uneventful but late post-operative became turbulent; with development of oliguria on day 4 and faecal peritonitis on day 8. With a diagnosis of strangulation and perforation of Meckel’s diverticulum, laparotomy was done in emergency on the same day by a surgical Oncologist. On laparotomy, gangrene and perforation of the Meckel’s diverticulum was found. Excision of the diverticulum with resection anastomosis of terminal ileum was followed by ileostomy.

Result

Patient was discharged on 10th post-operative with a healthy functioning ileostomy and satisfactory renal profile. After 1 month, she was readmitted with septicaemia in low condition and ultimately died of cardiorespiratory failure after 72 h.

Conclusion

The article highlights the importance of accurate preoperative workup in form of CT scan/MRI in all cases of operable cervical cancers, to detect comorbidities and offer alternative treatment to them.