Progression of pelvic implants to complex atypical endometrial hyperplasia after uterine morcellation

Lisa M. Kill, Vasilis Kapetanakis, Ann E. McCullough, Javier F. Magrina

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)447-449
Number of pages3
JournalObstetrics and gynecology
Volume117
Issue number2 PART 2
DOIs
StatePublished - Feb 1 2011

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ASJC Scopus subject areas

  • Obstetrics and Gynecology

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