Interventional radiology in the management of vascular complications in urogynecology: a lower-extremity hematoma after transobturator sling—case report - Summary - MDSpire
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Interventional radiology in the management of vascular complications in urogynecology: a lower-extremity hematoma after transobturator sling—case report
To report a case of a large lower-extremity hematoma as a rare vascular complication following transobturator sling surgery and to highlight the role of interventional radiology in its management.
Approach:
Case Report: A 72-year-old woman underwent urethrocolpopexy with transobturator sling placement. Postoperatively, she developed a large hematoma, which led to imaging studies and a consultation with interventional radiology.
Key Findings:
The patient experienced a large lower-extremity hematoma following transobturator sling surgery, while remaining hemodynamically stable and asymptomatic.
Computed tomography angiography and diagnostic arteriography excluded active bleeding or vascular lesions.
Interpretation:
The case highlights the importance of individualized diagnostic approaches in managing vascular complications post-surgery.
Limitations:
The case report is based on a single patient experience, limiting generalizability.
The long-term outcomes of the conservative management approach are not discussed.
Conclusion:
Interventional radiology may serve as a valuable diagnostic and therapeutic tool in managing vascular complications.
Single-nucleus sequencing of menstrual fluid identified epithelial gene signatures and prioritized five candidate biomarkers that warrant validation in larger studies.
