Vaginal treatment of a retroperitoneal abscess occurring 5 years after laparoscopic sacral colpopexy

Umberto Leone Roberti Maggiore, Franco Alessandri, Simone Ferrero

Research output: Contribution to journalArticle

Abstract

Background: This report describes a retroperitoneal abscess occurring 5 years after laparoscopic sacral colpopexy, and its treatment. Case: A 35-year-old woman complained of malodorous abnormal vaginal discharge and chronic abdominal pain. At vaginal examination, mesh erosion was observed on the anterior vaginal wall. Magnetic resonance imaging showed a retroperitoneal abscess between the cervix and the posterior bladder wall. Vaginal surgery combined with antibiotic therapy was chosen to drain the abscess and remove a large part of the mesh. Prolonged antibiotic therapy was maintained after the treatment. Results: At 1 year follow-up no recurrence of apical prolapse was observed. Conclusions: Vaginal surgery combined with antibiotic therapy was safe, minimally invasive, and successful in treating a retroperitoneal abscess related to mesh erosion after sacral colpopexy.

Original languageEnglish
Pages (from-to)126-128
Number of pages3
JournalJournal of Gynecologic Surgery
Volume30
Issue number2
DOIs
Publication statusPublished - Apr 1 2014

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Surgery

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