Case Reports in Obstetrics and Gynecology (Jan 2015)

Fatal Injury of the Small Intestine during Retropubic Sling Placement

  • P. Kascak,
  • B. Kopcan

DOI
https://doi.org/10.1155/2015/164545
Journal volume & issue
Vol. 2015

Abstract

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We describe a case of injury of the small intestine in a patient who underwent placement of Align R retropubic urethral support system (BARD). Absence of characteristic symptoms of the bowel injury and peritonitis led to a rapid development of sepsis, multiple organ failure, and death. Although the placement of midurethral sling is a minimally invasive surgery, good diagnostic skills, proper evaluation of indications, safe performance of the procedure, and thorough postsurgical monitoring are paramount for safe and effective outcome of the surgery.