Arterial Thrombosis After Surgery of Pelvic Side Wall Recurrence of a Villoglandular Adenocarcinoma of the Cervix

Abstract

Abstract Background: Villoglandular adenocarcinoma of the cervix is a rare condition that appears in young women and is characterized by its low aggressiveness. The most common treatment is surgery, consisting of either a conization or hysterectomy. Ovaries may be preserved depending upon the patient's reproductive desires. Case: The case reported here involves the recurrence of a stage IB1 villoglandular adenocarcinoma of the cervix. This may be the first case report of the recurrence of a villoglandular adenocarcinoma of the cervix with no lymph node metastasis following a radical hysterectomy, and the first case of a laterally extended endopelvic resection being complicated by an arterial thrombosis. Results: Resection was performed, leaving part of the residual tumor. The patient experienced a postoperative thrombosis of the left common iliac artery. A fasciotomy of the tibia and calf was performed, followed by a femoro-femoral crossover bypass. The patient is still undergoing rehabilitation, as well ...