Laparoscopic gynecologic surgery has gained worldwide popularity in the past few years, but complications of this new technique do occur. We encountered three patients who developed major complications after laparoscopic gynecologic procedures including perforation of the sigmoid colon, urinary bladder, and ureter. We report the computed tomographic findings of these cases and the diagnostic dilemmas they posed.
The number of gynecologic procedures using the laparoscopic technique has increased considerably in recent years. The procedure has several advantages over conventional gynecologic surgical interventions: it is less invasive, requires a shorter hospital stay, and has a lower cost and fewer complications [1, 2]. However, complications, both major and minor, do occur. Major complications are injuries to the intestine, urinary tract, or large vessels. Minor complications include mild infections, mild hemorrhages, and failed sterilization [1].
We report three patients with major complications after a laparoscopic gynecologic procedure, with emphasis on the computed tomographic (CT) findings.