IMR Press / EJGO / Volume 33 / Issue 2 / pii/1631086391770-975754282

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
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
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1 Department of Obstetrics and Gynecology, “Elena Venizelou” General Maternity Hospital, Athens
2 Department of Obstetrics and Gynecology, “G. Chatzikosta” General State Hospital, Ioannina (Greece)
Eur. J. Gynaecol. Oncol. 2012, 33(2), 214–216;
Published: 10 April 2012
Abstract

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°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.
Keywords
Cervical intraepithelial neoplasia
Treatment
Cervical cone biopsy
LLETZ
Complications
Peritonitis
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