Abstract
Patients with ventriculo-peritoneal shunt (VPS) for hydrocephalus had an improved survival and are more encountered in need of abdominal surgery. Laparoscopic surgery has been reported safe for these patients, although infrequently. At least 3 types of complications had been recorded: shunt obstruction, infection, and vaginal migration. We report a case of middle-aged female with endometrial hyperplasia and VPS who has done laparoscopic hysterectomy safely.
Highlights
Endometrial hyperplasia with atypia is a precursor lesion for endometrioid type endometrial cancer [1], and there has been an increasing trend toward laparoscopic hysterectomy for endometrial pathology.Thanks to the advance in neurosurgery, patients with ventriculoperitoneal shunt (VPS) as a part of the treatment of hydrocephalus, either congenital or acquired causes have a longer survival and are at increasing risk of developing abdominal pathology necessitating surgery [2].we discuss a patient with VPS with atypical endometrial hyperplasia treated by laparoscopic hysterectomy.Case PresentationFemale patient aged 43-years-old with 4 offsprings with body mass index 31.2 kg/m2 came to the hospital complaining of abnormal uterine bleeding, dilatation and curettage done revealed atypical complex endometrial hyperplasia
We discuss a patient with VPS with atypical endometrial hyperplasia treated by laparoscopic hysterectomy
Intracranial pressure (ICP) was not measured, ; there was no complaint or headache noticed by the patient after the surgery
Summary
Endometrial hyperplasia with atypia is a precursor lesion for endometrioid type endometrial cancer [1], and there has been an increasing trend toward laparoscopic hysterectomy for endometrial pathology. Thanks to the advance in neurosurgery, patients with ventriculoperitoneal shunt (VPS) as a part of the treatment of hydrocephalus, either congenital or acquired causes have a longer survival and are at increasing risk of developing abdominal pathology necessitating surgery [2]. We discuss a patient with VPS with atypical endometrial hyperplasia treated by laparoscopic hysterectomy. The patient developed an acquired hydrocephalus 3 years ago for which a VPS was inserted She had a history of oral contraception followed by intrauterine device insertion, which was missed intrauterine and was removed transvaginally two and half months ago. Intracranial pressure (ICP) was not measured, ; there was no complaint or headache noticed by the patient after the surgery
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