1. Retained uterine fundus after vaginal hysterectomy
- Author
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Parul Shah, Meenakshi Sundaram, Chaitali Mahajan, Gayatri Manaktala, Rakesh Sinha, and Smita Lakhotia
- Subjects
Adult ,Abdominal pain ,medicine.medical_specialty ,Uterine tissue ,Uterine fundus ,Uterus ,Pelvic Pain ,Postoperative Complications ,Hysterectomy, Vaginal ,Medicine ,Humans ,Laparoscopy ,Gynecology ,medicine.diagnostic_test ,Leiomyoma ,business.industry ,Obstetrics and Gynecology ,Myoma ,medicine.disease ,medicine.anatomical_structure ,Fundus (uterus) ,Hysterectomy vaginal ,Uterine Neoplasms ,Female ,medicine.symptom ,business - Abstract
We report a case of retained uterine fundus after vaginal hysterectomy that was subsequently removed at laparoscopy. The patient had undergone vaginal hysterectomy 8 years previously and came to our hospital with abdominal pain. Examination revealed a supravesical mass. Laparoscopy was performed and showed the uterine fundus with its cornual attachments. The mass was excised and sent for histopathologic analysis, which confirmed that it was uterine tissue. Retained uterine tissue or myoma tissue has been reported, usually after morcellation. However, to our knowledge, our case is only the second reported case of retained fundus after complete vaginal hysterectomy. Because of adhesions, it is possible that the uterus was not completely removed. In such cases, laparoscopic assistance is extremely useful.
- Published
- 2009