Case report of a patient with port site hernia and subsequent uterine cervical abscess after robot-assisted sacrocolpopexy

Abstract

　We report the case of a patient with port site hernia that developed after robot-assisted sacrocolpopexy and eventually led to a uterine cervical abscess, which was treated conservatively without removing the mesh. With the chief complaint of dysuria, the 73-year-old female patient with a history of two vaginal deliveries underwent robotassisted sacrocolpopexy. At day 4 postoperatively, the patient vomited, and emergency computed tomography revealed incarceration of the intestinal tract in the left lower abdomen, which was diagnosed as port site hernia. On the 13^th postoperative day, purulent drainage was found in the vagina, and a left uterine cervical interstitial abscess was diagnosed using magnetic resonance imaging. Transcervical drainage and daily local irrigation with intravenous antibiotics were performed. The patient was discharged without mesh removal. Various complications have been reported after robot-assisted sacrocolpopexy, but this is the first report of uterine cervical abscess.