Obstet Gynecol Sci.  2019 Mar;62(2):138-141. 10.5468/ogs.2019.62.2.138.

Hemoperitoneum: a complication of loop electrosurgical excision procedure

• Cho A
• Park S
• Park S
• Kang HS
• Shim SS
• Park CM
• Kim SY

• KMID: 2471687
• DOI: http://doi.org/10.5468/ogs.2019.62.2.138

Abstract

Loop electrosurgical excision procedure (LEEP) is commonly performed for the management of cervical intraepithelial neoplasia. Although LEEP is considered to be a relatively simple procedure, several unexpected complications have been reported in the literature. Herein, we report a case of hemoperitoneum caused by uterine perforation following LEEP. Blood collection in pelvic cavity and two small defects of the uterus were confirmed by diagnostic laparoscopy. The defects were sutured and the patient recovered well after the operation.

Keyword

Conization; Laparoscopy; Hemoperitoneum

MeSH Terms

Cervical Intraepithelial Neoplasia
Conization
Hemoperitoneum*
Humans
Laparoscopy
Uterine Perforation
Uterus

Figure

• 

  Fig. 1 Abdominal and pelvic contrast-enhanced computed tomography showing fluid collection in pelvic cavity (arrow).

• 

  Fig. 2 Hemoperitoneum (A) and defects (arrow) of the uterus (B) confirmed by laparoscopy.

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