肛门周围脓肿作为盆底重建术后阴道皮肤瘘的一种表现。
Perianal abscess as a manifestation of vaginocutaneous fistula after pelvic floor reconstruction.
机构信息
General, Visceral and Proctological Surgery, DIAKOMED Diakoniekrankenhaus Chemnitzer Land gGmbH, Hartmannsdorf, Saxony, Germany
General, Visceral and Proctological Surgery, DIAKOMED Diakoniekrankenhaus Chemnitzer Land gGmbH, Hartmannsdorf, Saxony, Germany.
出版信息
BMJ Case Rep. 2022 May 13;15(5):e247339. doi: 10.1136/bcr-2021-247339.
We present a case of vaginocutaneous fistula 10 years after pelvic floor reconstruction using transvaginal mesh implantation. The female patient in her mid-60s presented with typical symptoms of perianal abscess. After undergoing three surgical operations, the perianal infection was shown to be due to the implanted mesh as a late complication of the reconstruction. The patient was successfully managed with limited removal of the mesh tails. The case highlights one of the late complications of pelvic floor reconstruction using synthetic meshes.
我们报告了一例阴道皮肤瘘 10 年后的病例，该患者曾接受经阴道植入网片盆底重建术。这位 60 多岁的女性患者表现出典型的肛周脓肿症状。经过三次手术，发现肛周感染是由于重建时植入的网片这一迟发并发症所致。通过有限切除网片尾线，患者得到了成功的治疗。该病例强调了使用合成网片进行盆底重建的一种迟发并发症。
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