Journal List > Korean J Obstet Gynecol > v.53(12) > 1006378

Korean J Obstet Gynecol. 2010 Dec;53(12):1136-1140. Korean.
Published online December 21, 2010.  https://doi.org/10.5468/kjog.2010.53.12.1136
Copyright © 2010 Korean Society of Obstetrics and Gynecology
Endometriosis and myoma concurrently arising after laparoscopic subtotal hysterectomy
Young Ah Kim, M.D.
Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Corresponding author (Email: camanbal@paik.ac.kr )
Received November 11, 2010; Accepted November 23, 2010.

Abstract

Iatrogenic endometriosis and leiomyoma are rare complication of laparoscopic subtotal hysterectomy. I experienced a case of pelvic endometriosis and leiomyoma concurrently arising after laparoscopic subtotal hysterectomy 2 years ago. The patient was a 43-year-old woman, and her chief complaint was palpable mass with pelvic pain in pelvis. Contrast-enhanced computed tomography image showed multiple well enhanced masses. She underwent laparoscopic surgery which revealed pelvic endometriosis and leiomyomas. The solid masses in cul-de-sac and on the surface of rectum were revealed endometriosis. The solid masses on the surface of anterior abdominal wall and descending colon were revealed leiomyoma. Implantation of viable endometrial and leiomyoma tissues could occur during uterine morcellation at time of laparoscopic subtotal hysterectomy in some patients. Vigorous irrigation and meticulous inspection should be performed.

Keywords: Pelvic endometriosis; Leiomyoma; Laparoscopic subtotal hysterectomy; Electric morcellator

Figures


Fig. 1
Showed the echogenic mass (4.1×3.9×2.8 cm) (A) with blood flow (B) in cul-de-sac.
Click for larger image


Fig. 2
Contrast-enhanced computed tomography image showed well enhanced masses in cul-de-sac (A) and on the surface of rectum (B), anterior abdominal wall (C), and descending colon (D).
Click for larger image


Fig. 3
A laparoscopic view of cul-de-sac. Pelvic mass (arrows) were noted in cul-de-sac.
Click for larger image

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