Anterior pelvic exenteration with curative intent in locally invasive cervical cancer after initial bilateral hypogastric artery ligation. A case report.

N. Bacalbașa, A. Filipescu, I. Bălescu

Abstract: Pelvic exenteration remains the only potential curative treatment for locally advanced gynaecologic tumors. It is however a demanding procedure for both surgeon and patient and still accompanied by considerable postoperative morbidity and decreasing but still important postoperative mortality. The patient therefore needs to reach prior to the procedure the best possible general status. We present the case of a 51 years old women addressed to us in hemorrhagic shock caused by vaginal bleeding caused by an advanced cervical tumor. A bilateral hypogastric artery ligation was performed, which proved effective in achieving hemostasys and the patient was submitted to 26 sequences of irradiation. An anterior radical pelvic exenteration with curative intent was performed 6 months later.
DOI:10.18643/gieu.2014.105

Keywords: hemorhhagic shock, invasive cervical cancer, hypogastric artery ligation.