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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
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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. |
format | Online Article Text |
id | pubmed-3420099 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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