Decompression of hematocolpos caused by acquired obstruction in patient with prior radiation therapy for vaginal cancer.

Gynecology & obstetrics case reports Pub Date : 2021-01-01 Epub Date: 2021-10-21
Adam D Elwood, Eugenia Girda
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Abstract

Background: This report is intended to present a unique patient with acquired vaginal obstruction due to prior radiation therapy and subsequent development of hematocolpos. We present a method of surgical decompression for the hematocolpos as well as this patient's follow-up and prevention of re-epithelialization.

Case: One patient was recruited and consented for this case study. Pre-operative evaluation, including examination and imaging, intra-operative findings, and post-operative evaluation were reported in this study. After surgical evaluation and drainage of hematocolpos via incision and drainage, a foley balloon was placed to prevent re-epithelialization. Intra-operative fluid cultures yielded no growth. At her follow-up appointment, the foley balloon was removed and the vaginal canal was intact without agglutination or re-accumulation of hematocolpos.

Conclusions: This is a unique case of acquired obstruction from radiation therapy causing significant symptomatic hematocolpos. We offer a minimally invasive approach for decompression, evaluation of malignancy, and prevention of re-obstruction. Her post-operative appointment showed resolution of symptoms and patent vaginal canal. Long-term outcomes are still required, including monitoring for malignant recurrence, re-obstruction and stenosis, and sexual health. If re-epithelialization occurs, more definitive therapy will be required, including excision of the vaginal septum or hysterectomy.

阴道癌放疗后获得性梗阻所致结肠血液病的减压。
背景:本报告旨在介绍一个独特的患者获得性阴道梗阻,由于先前的放疗和随后的发展血性结肠。我们提出了一种手术减压的方法,以及该患者的随访和预防再上皮化。病例:一名患者被招募并同意参加本病例研究。本研究报告了术前评估,包括检查和成像,术中发现和术后评估。在手术评估和通过切口和引流引流结肠后,放置一个foley球囊以防止再上皮化。术中液体培养未见生长。在她的随访预约中,切除了foley球囊,阴道管完好无损,没有凝集或再积血。结论:这是一个独特的病例获得性梗阻放射治疗引起显著症状性血肠。我们提供微创入路减压,评估恶性肿瘤,预防再阻塞。术后就诊显示症状消退,阴道通畅。仍然需要长期结果,包括监测恶性复发、再梗阻和狭窄以及性健康。如果发生再上皮化,则需要更明确的治疗,包括切除阴道间隔或子宫切除术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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