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A rare case of post-hysterectomy vault site iatrogenic endometriosis
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논문 기본 정보

Type
Academic journal
Author
Journal
Korean Society of Obstetrics and Gynecology Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제58권 제4호 KCI Accredited Journals
Published
2015.1
Pages
319 - 322 (4page)

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A rare case of post-hysterectomy vault site iatrogenic endometriosis
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Abstract· Keywords

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A 45-year-old woman with a prior history of hysterectomy due to adenomyosis and leiomyomas was presented at our outpatient gynecology clinic 13 months later with sudden lower pelvic discomfort and vaginal bleeding symptoms. The patient underwent vaginal vault biopsy however diagnosis was still uncertain. Additional evaluation was required due to massive rebleeding incidents. After an emergent explorative laparoscopic operation with total excision of the vault, a diagnosis of vaginal vault endometriosis was made. Our theory is that a possible transplantation of endometrial cells during morcellation of the adenomyotic uterus which then may have progressed to iatrogenic endometriosis of the vaginal vault. Therefore, vault endometriosis must be considered in incidences of delayed massive bleeding occurring in post-hysterectomy patients when other diagnoses have been excluded.
#Hysterectomy #Morcellation #Vagina vault endometriosis

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References (11)

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Aydin Y. / 2009 / An endometriotic vault fistula presenting with monthly bleeding after hysterectomy / Arch Gynecol Obstet 280 : 1011 ~ 1014 google schola Benjamin MA. / 2010 / A rare case of abnormal uterine bleeding caused by cavernous hemangioma : a case report / J Med Case Rep 4 : 136 ~ google schola Berek JS. / 2012 / Berek and Novak’s gynecology. 15th ed / Lippincott Williams & Wilkins google schola Fraser IS. / 2008 / Recognising, understanding and managing endometriosis / J Hum Reprod Sci 1 : 56 ~ 64 google schola Green TH Jr. / 1954 / Pseudomenstruation from posthysterectomy vaginal vault endometriosis / Obstet Gynecol 4 : 622 ~ 634 google schola

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