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Chronic pelvic pain: a rare complication following a large-loop excision of the transformation zone
  1. K. Sieunarine*,
  2. F. Lawton and
  3. J. R. Smith*
  1. *Department of Gynaecology, Chelsea and Westminster Hospital, Imperial College School of Medicine, London, United Kingdom
  2. Department of Gynaecology, King's College Hospital, London, United Kingdom
  1. Address correspondence and reprint requests to: J. Richard Smith, MD, FRCOG, Department of Gynaecology, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK. Email: krishen23{at}hotmail.com

Abstract

This is the unique report of a patient with deep-seated, left-sided pelvic pain following a large-loop excision of the transformation zone (LLETZ) for cervical intraepithelial neoplasia III. She transpired to have a definite diagnosis of pelvic varicosities which were only on the left side. Our surmise was that the varicosities had risen on the back of an arteriovenous malformation following her LLETZ performed by a colleague. The first attempted treatment was radiologic embolization. When this failed, she had a formal surgical procedure, and the left unilateral varicosities were ligated. Her pain ceased entirely thereafter, and she remained pain free at her 1-year review.

  • chronic pelvic pain
  • CIN
  • LLETZ
  • pelvic varicosities

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