ABSTRACT
A case of chronic urinary retention due to bladder outflow obstruction presenting at 7 months postpartum, following a history of early puerperal voiding difficulties, is outlined. The cause was found to be a markedly retroverted uterus obstructing the urethra. Laparoscopic ventrosuspension was performed, converting preoperative urinary residuals of over 400 ml to zero postoperatively.
Subject(s)
Laparoscopy , Puerperal Disorders/etiology , Round Ligament of Uterus/surgery , Urinary Bladder Neck Obstruction/etiology , Urinary Retention/etiology , Uterus/pathology , Adult , Chronic Disease , Female , Humans , Puerperal Disorders/physiopathology , Urethral Obstruction/etiology , Urethral Obstruction/physiopathology , Urinary Bladder Neck Obstruction/physiopathology , Urinary Retention/physiopathology , UrodynamicsABSTRACT
We present a case of a rectovaginal fistula which was revealed as an incidental finding at the time of posterior colporrhaphy. We describe a previously unreported 5-layer repair through a vaginal approach in preference to the more frequently reported approaches of endoanal flap or conversion to a fourth degree tear. The diagnosis and management of rectovaginal fistulas is discussed.
Subject(s)
Rectovaginal Fistula/surgery , Suture Techniques , Female , Flatulence/etiology , Humans , Middle Aged , Rectovaginal Fistula/classification , Rectovaginal Fistula/complications , Rectovaginal Fistula/diagnosis , Urinary Incontinence, Stress/etiology , VaginaABSTRACT
We present a case of spontaneous evisceration of the small bowel through the vaginal vault in a 61-year-old women. The predisposing factors and management are discussed.
Subject(s)
Uterine Prolapse/surgery , Visceral Prolapse/surgery , Female , Humans , Hysterectomy , Intestine, Small , Middle Aged , Postoperative Complications/etiology , Postoperative Complications/surgery , Recurrence , Reoperation , Uterine Prolapse/etiology , Visceral Prolapse/etiologyABSTRACT
We present the case of a pregnant woman with alcohol-induced liver cirrhosis and a discussion of the clinically relevant issues of cirrhosis in pregnancy.
