Bowel Perforation during Hysterectomy
This medical illustration begins with an anterior view of the female abdomen and pelvis with the three trocars in place and will provide an orientation for the next image. A large sagittal view of an insufflated abdomen/pelvis clearly shows the spatial relationship the abominal organs, adhesions and the trocars during the surgery. The right trocar is shown penetrating a layer of adhesions and then piercing the underlying ileum. Next, an anterior view of the female figure reveals a 1-2 cm perforation in the proximal portion of the ileum and the resulting peritonitis, peritoneal abscess, sepsis in the abdominal cavity. The major organs is ghosted beneath the skin and labels will list the further complications including; pulmonary insufficiency, atrial fibrillation, anemia, thrombocytopenia, pulmonary embolism, pleural effusion, parametrics, renal / perinephric abcesses, acidosis and hypotension.