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Massive Delayed Vaginal Hemorrhage after Laparoscopic Supracervical Hysterectomy

Background. A known complication of supracervical hysterectomy is cyclical bleeding from the retained cervix when functioning endometrial tissue is not totally removed. We present a rare case of delayed postoperative vaginal hemorrhage after supracervical hysterectomy. Case. A 44-year-old woman pres...

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Autores principales: Holloran-Schwartz, M. Brigid, Potter, Shannon J., Kao, Ming-Shian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420099/
https://www.ncbi.nlm.nih.gov/pubmed/22919525
http://dx.doi.org/10.1155/2012/871041
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author Holloran-Schwartz, M. Brigid
Potter, Shannon J.
Kao, Ming-Shian
author_facet Holloran-Schwartz, M. Brigid
Potter, Shannon J.
Kao, Ming-Shian
author_sort Holloran-Schwartz, M. Brigid
collection PubMed
description Background. A known complication of supracervical hysterectomy is cyclical bleeding from the retained cervix when functioning endometrial tissue is not totally removed. We present a rare case of delayed postoperative vaginal hemorrhage after supracervical hysterectomy. Case. A 44-year-old woman presented on postoperative day 15 after laparoscopic supracervical hysterectomy with massive vaginal hemorrhage requiring emergent re-operation. Her bleeding was controlled with vaginally placed sutures. Ultrasound confirmed no intraperitoneal free fluid. The etiology was thought to be induced by postoperative tissue necrosis from cautery applied to the endocervical canal during the original surgery. Conclusion. Delayed vaginal hemorrhage from a retained cervix is a rare complication of laparoscopic supracervical hysterectomy. Caution should be exercised when cauterizing the endocervical canal as induced tissue necrosis may increase the risk of postoperative bleeding.
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spelling pubmed-34200992012-08-23 Massive Delayed Vaginal Hemorrhage after Laparoscopic Supracervical Hysterectomy Holloran-Schwartz, M. Brigid Potter, Shannon J. Kao, Ming-Shian Case Rep Obstet Gynecol Case Report Background. A known complication of supracervical hysterectomy is cyclical bleeding from the retained cervix when functioning endometrial tissue is not totally removed. We present a rare case of delayed postoperative vaginal hemorrhage after supracervical hysterectomy. Case. A 44-year-old woman presented on postoperative day 15 after laparoscopic supracervical hysterectomy with massive vaginal hemorrhage requiring emergent re-operation. Her bleeding was controlled with vaginally placed sutures. Ultrasound confirmed no intraperitoneal free fluid. The etiology was thought to be induced by postoperative tissue necrosis from cautery applied to the endocervical canal during the original surgery. Conclusion. Delayed vaginal hemorrhage from a retained cervix is a rare complication of laparoscopic supracervical hysterectomy. Caution should be exercised when cauterizing the endocervical canal as induced tissue necrosis may increase the risk of postoperative bleeding. Hindawi Publishing Corporation 2012 2012-08-07 /pmc/articles/PMC3420099/ /pubmed/22919525 http://dx.doi.org/10.1155/2012/871041 Text en Copyright © 2012 M. Brigid Holloran-Schwartz et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Holloran-Schwartz, M. Brigid
Potter, Shannon J.
Kao, Ming-Shian
Massive Delayed Vaginal Hemorrhage after Laparoscopic Supracervical Hysterectomy
title Massive Delayed Vaginal Hemorrhage after Laparoscopic Supracervical Hysterectomy
title_full Massive Delayed Vaginal Hemorrhage after Laparoscopic Supracervical Hysterectomy
title_fullStr Massive Delayed Vaginal Hemorrhage after Laparoscopic Supracervical Hysterectomy
title_full_unstemmed Massive Delayed Vaginal Hemorrhage after Laparoscopic Supracervical Hysterectomy
title_short Massive Delayed Vaginal Hemorrhage after Laparoscopic Supracervical Hysterectomy
title_sort massive delayed vaginal hemorrhage after laparoscopic supracervical hysterectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420099/
https://www.ncbi.nlm.nih.gov/pubmed/22919525
http://dx.doi.org/10.1155/2012/871041
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