• Vol. 40 No. 9, 427–429
  • 15 September 2011

Giant Subphrenic Abscess: A Rare Complication of Laparoscopic-assisted Vaginal Hysterectomy



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Our emergency department admitted a 43-year-old woman because she was suffering from intermittent fevers and pain in her right flank. One month earlier, a laparoscopy-assisted vaginal hysterectomy had been performed to treat leiomyomas. Under general anaesthesia, the patient was placed in the modified lithotomy position. Three trocars were introduced into the pelvic cavity where the uterus was sectioned and removed. Seven fi broids were found in the uterine walls, one of them measuring up to 3.5 cm. The operation went relatively smoothly with no complications arising. The total operation time was 3 hours. Estimated blood loss from the surgery was 350 ml. Cephalexin (1000 mg every 8 hours) was administered intravenously preoperatively as well as postoperatively, and Gentamicin (80 mg every 8 hours) was added after the surgery. The patient was discharged from the hospital after 5 days.

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