Document Detail

Retained uterine fundus after vaginal hysterectomy.
MedLine Citation:
PMID:  20129338     Owner:  NLM     Status:  MEDLINE    
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.
Rakesh Sinha; Smita Lakhotia; Meenakshi Sundaram; Gayatri Manaktala; Parul Shah; Chaitali Mahajan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  17     ISSN:  1553-4650     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-02-04     Completed Date:  2010-03-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  94-6     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 AAGL. Published by Elsevier Inc. All rights reserved.
Department of Endoscopic Surgery, Beams Hospital, Mumbai, India.
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MeSH Terms
Hysterectomy, Vaginal / adverse effects*
Leiomyoma / pathology,  surgery
Pelvic Pain / etiology,  surgery
Postoperative Complications*
Uterine Neoplasms / pathology,  surgery
Uterus / pathology*,  surgery

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