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Cecal perforation complicating placement of a transvaginal tension-free vaginal tape

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Abstract

The tension-free vaginal tape has been increasingly used to treat stress urinary incontinence. This procedure has a high success rate and unique surgical complications. The patient is a 39-year-old with genuine stress urinary incontinence and underwent placement of tension-free vaginal tape for treatment. Twelve hours after the procedure, the patient had increasing abdominal pain, and an acute abdominal series showed free intraperitoneal air. Exploratory laparotomy revealed stool in the peritoneal cavity, with the vaginal tape placed through the cecum. Bowel complications are rare; however, they may occur and should be suspected in a patient with an acute abdomen and free air.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, David Grant Medical Center, 101 Bodin Circle, Travis AFB, CA, 94535, USA

    Daniel D. Gruber, Donald S. Wiersma, James S. Dunn, Kent A. Meldrum & Thomas C. Krivak

  2. Department Obstetrics and Gynecology,Division of Gynecologic Oncology, Magee-Womens Hospital, 300 Halket Street, Pittsburgh, PA, 15213, USA

    Thomas C. Krivak

Authors
  1. Daniel D. Gruber
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  2. Donald S. Wiersma
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  3. James S. Dunn
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  4. Kent A. Meldrum
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  5. Thomas C. Krivak
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Corresponding author

Correspondence to Thomas C. Krivak.

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The authors have no funding or financial disclosure for this project.

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Gruber, D.D., Wiersma, D.S., Dunn, J.S. et al. Cecal perforation complicating placement of a transvaginal tension-free vaginal tape. Int Urogynecol J 18, 671–673 (2007). https://doi.org/10.1007/s00192-006-0185-8

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  • DOI: https://doi.org/10.1007/s00192-006-0185-8

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