TY - JOUR
T1 - Progression of pelvic implants to complex atypical endometrial hyperplasia after uterine morcellation
AU - Kill, Lisa M.
AU - Kapetanakis, Vasilis
AU - McCullough, Ann E.
AU - Magrina, Javier F.
PY - 2011/2
Y1 - 2011/2
N2 - Background: Supracervical hysterectomy, a surgical technique that involves removal of the uterus while preserving the cervix, places women at an increased risk for future morbidity. Case: The patient presented 7 years after laparoscopic supracervical hysterectomy for benign disease, with pelvic pain, urinary frequency, abdominal bloating, and tenderness. Surgical exploration revealed myometrial implants, along with a larger mass on the mesentery of the sigmoid composed of endometrium with complex atypical hyperplasia in a patient without a prior history of complex atypical hyperplasia. The patient was symptom-free 6 months postoperatively. Conclusion: Histology found during reoperation after laparoscopic supracervical hysterectomy includes endometriosis, residual endometrium, and leiomyomas. In this case, a woman with no prior history of endometrial atypia later developed complex adenomatous endometrial hyperplasia in a peritoneal implant. This finding adds to the list of possible complications after laparoscopic-assisted supracervical hysterectomy and uterine morcellation.
AB - Background: Supracervical hysterectomy, a surgical technique that involves removal of the uterus while preserving the cervix, places women at an increased risk for future morbidity. Case: The patient presented 7 years after laparoscopic supracervical hysterectomy for benign disease, with pelvic pain, urinary frequency, abdominal bloating, and tenderness. Surgical exploration revealed myometrial implants, along with a larger mass on the mesentery of the sigmoid composed of endometrium with complex atypical hyperplasia in a patient without a prior history of complex atypical hyperplasia. The patient was symptom-free 6 months postoperatively. Conclusion: Histology found during reoperation after laparoscopic supracervical hysterectomy includes endometriosis, residual endometrium, and leiomyomas. In this case, a woman with no prior history of endometrial atypia later developed complex adenomatous endometrial hyperplasia in a peritoneal implant. This finding adds to the list of possible complications after laparoscopic-assisted supracervical hysterectomy and uterine morcellation.
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U2 - 10.1097/AOG.0b013e3181f2e0c6
DO - 10.1097/AOG.0b013e3181f2e0c6
M3 - Article
C2 - 21252784
AN - SCOPUS:79251569891
SN - 0029-7844
VL - 117
SP - 447
EP - 449
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 2 PART 2
ER -