Liu SH, Zhang YH, Niu HT, Tian DX, Qin F, Jiao W. Vaginal enterocele after cystectomy: A case report. World J Clin Cases 2022; 10(6): 2045-2052 [PMID: 35317139 DOI: 10.12998/wjcc.v10.i6.2045]
Corresponding Author of This Article
Wei Jiao, MD, Academic Research, Adjunct Professor, Department of Urology, The Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Qingdao 266000, Shandong Province, China. jiaowei3929@163.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Shuai-Hong Liu, Yu-Hao Zhang, Hai-Tao Niu, Dong-Xu Tian, Fei Qin, Wei Jiao, Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China
Shuai-Hong Liu, Yu-Hao Zhang, Dong-Xu Tian, Fei Qin, Department of Clinical Medicine, Qingdao University, Qingdao 266000, Shandong Province, China
Author contributions: Liu SH, Niu HT, Jiao W were the patient's urologists, reviewed the literature analyzed the data and contributed to manuscript drafting; Zhang YH reviewed the literature; Qin F and Tian DX contributed to manuscript drafting; Jiao W analyzed and interpreted the imaging findings; all authors issued final approval for the version to be submitted.
Informed consent statement: This case is for the promotion of medical research only, publication of partial information on the patient in the text has been obtained with the patient's own consent and signed informed consent.
Conflict-of-interest statement: There is no conflict of interest among the authors.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Jiao, MD, Academic Research, Adjunct Professor, Department of Urology, The Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Qingdao 266000, Shandong Province, China. jiaowei3929@163.com
Received: October 8, 2021 Peer-review started: October 8, 2021 First decision: October 27, 2021 Revised: November 9, 2021 Accepted: January 14, 2022 Article in press: January 14, 2022 Published online: February 26, 2022 Processing time: 138 Days and 7.8 Hours
Abstract
BACKGROUND
After undergoing radical cystectomy combined with hysterectomy, female patients may suffer from pelvic organ prolapse due to the destruction of pelvic structures, which mainly manifests as the prolapse of tissues of the vulva to varying degrees and can be accompanied by symptoms, such as bleeding and inflammation. Once this complication is present, surgical intervention is needed to resolve it. Therefore, preventing and managing this complication is especially important.
CASE SUMMARY
The postoperative occurrence of acute enterocele is rare, and a case of acute small bowel vaginosis 2 mo after radical cystectomy with hysterectomy is reported. When the patient was admitted, physical examination revealed that the small bowel was displaced approximately 20 cm because of vaginocele. A team of gynecological, general surgery, and urological surgeons was employed to return the small bowel and repair the lacerated vaginal wall during the emergency operation. Eventually, the patient recovered, and no recurrence was seen in the half year of follow-up.
CONCLUSION
We review the surgical approach for such patients, analyze high-risk factors for the disease and suggest corresponding preventive measures.
Core Tip: After undergoing radical cystectomy combined with hysterectomy, female patients may suffer from pelvic organ prolapse due to the destruction of pelvic structures, which mainly manifests as the prolapse of tissues of varying degrees in the vulva and can be accompanied by symptoms, such as bleeding and inflammation. Once this complication is present, we need surgical intervention to resolve it. So how to prevent and manage this complication is especially important. We review the surgical approach for such patients, analyzes high-risk factors for the disease and focuses on suggesting corresponding preventive measures.
