Vol 85, No 4 (2014)
ARTICLES
Sepsis and multiorgan failure following TVT procedure
Piotr Stec, Rowan Connell
DOI: 10.17772/gp/1730
·
Ginekol Pol 2014;85(4).
Vol 85, No 4 (2014)
ARTICLES
Abstract
Tension-free vaginal tape (TVT), is a commonly performed, low risk procedure for treatment of stress urinary incontinence (SUI). Severe complications are rare, but can be potentially life threatening. We present a case of 66 year old patient who sustained bladder perforation at the time of TVT procedure and subsequently developed sepsis rapidly leading to multi-organ failure and triggering sequence of serious complications. During her inpatient stay she required ITU admission, emergency laparotomy, TVT mesh removal, bowel resection due to ischemic colitis and anticoagulation for pulmonary embolism. Despite of clinical picture of sepsis her microbiology tests were almost consistently negative. This case emphasise importance of awareness and quick recognition of TVT related complications. Patient ultimately survived and recovered thanks to timely and coordinated management by the multidisciplinary team of doctors.
Abstract
Tension-free vaginal tape (TVT), is a commonly performed, low risk procedure for treatment of stress urinary incontinence (SUI). Severe complications are rare, but can be potentially life threatening. We present a case of 66 year old patient who sustained bladder perforation at the time of TVT procedure and subsequently developed sepsis rapidly leading to multi-organ failure and triggering sequence of serious complications. During her inpatient stay she required ITU admission, emergency laparotomy, TVT mesh removal, bowel resection due to ischemic colitis and anticoagulation for pulmonary embolism. Despite of clinical picture of sepsis her microbiology tests were almost consistently negative. This case emphasise importance of awareness and quick recognition of TVT related complications. Patient ultimately survived and recovered thanks to timely and coordinated management by the multidisciplinary team of doctors.
Keywords
TVT procedure, multiorgan failure, sepsis
Title
Sepsis and multiorgan failure following TVT procedure
Journal
Ginekologia Polska
Issue
Vol 85, No 4 (2014)
Page views
671
Article views/downloads
912
DOI
10.17772/gp/1730
Bibliographic record
Ginekol Pol 2014;85(4).
Keywords
TVT procedure
multiorgan failure
sepsis
Authors
Piotr Stec
Rowan Connell
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