Vaginal sling implant misdiagnosed as rectal subepithelial tumor

Obstetrics & Gynecology Science
Su-Mi KimYun-Dan Kang

Abstract

As cosmetic procedures receive increasing attention from the media, female genital cosmetic surgery (FGCS) has become quite popular in Korea. The safety and efficacy of these surgeries and procedures have yet to be thoroughly documented. We report a case of a 47-year-old woman who underwent a vaginal sling implantation, which resulted in the misdiagnosis of a rectal subepithelial tumor during endoscopic mucosal resection (EMR). This patient suffered an iatrogenic rectal perforation during the EMR, which necessitated an exploratory operation. The sling implant was removed via the vaginal approach, and a primary repair of the vaginal and rectal walls was performed. The patient subsequently showed no sign of complication at her 6-month follow-up. Patients need to be educated about the importance of reporting a history of FGCS prior to undergoing surgical or endoscopic procedures. Also, physicians have to check the medical history of patient thoroughly to avoid misdiagnoses and unnecessary treatment.

References

Sep 4, 2007·Obstetrics and Gynecology·UNKNOWN Committee on Gynecologic Practice, American College of Obstetricians and Gynecologists
Nov 17, 2009·The Journal of Sexual Medicine·Michael P GoodmanFederico Gonzalez
Feb 25, 2011·Annals of Plastic Surgery·Michael N MirzabeigiGuy M Stofman
Apr 16, 2011·The Journal of Sexual Medicine·Michael P Goodman
Jan 27, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·B Kelly, C Foster
Jan 11, 2014·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Dorothy ShawUNKNOWN ETHICS COMMITTEE
Dec 6, 2014·International Urogynecology Journal·Anand SinghG Alessandro Digesu
Oct 16, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Gyeong-Eun HeoJun-Mo Kim

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Methods Mentioned

BETA
cesarean section
biopsy

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