{"paper_id":"b1c0a388-22f7-4d56-a27b-e80ee3634f01","body_text":"Abstract\nPost-menopausal bleeding is a common problem with varied etiology in the age group between 50 and 60 years. It is more likely to be of some pathologic cause which needs to be ruled out. Bleeding in a patient after hysterectomy is even rarer with varied causes like atrophic vaginitis, cervical stump cancer, infiltrating ovarian tumors, estrogen secreting tumors in other parts of the body. Endometriosis of the vault sometimes can cause post-menopausal bleeding. Diverticulitis of the bowel may give rise to vaginal discharge due to fistula, but bleeding is rare. Bladder pathology may cause vaginal bleeding. Our case is a rare case of vault endometriosis and should always be kept as a differential diagnosis in patients with bleeding after hysterectomy.\nReferences\nSaropala N, Ingsirorat C (1998) Conservative treatment of vaginal vault granulation tissue following total abdominal hysterectomy. Int J Gynaecol Obstet 62(1):55–58\nRamin SM, Ramin KD, Hemsell DL (1999) Fallopian tube prolapse after hysterectomy. South Med J 92(10):963–966\nOliver R, Coker A, Khoo D (2006) Laparoscopic approach to an endometriotic vault fistula causing posthysterectomy menstruation. J Minim Invasive Gynecol 13(2):164–165\nEhlen T, Randhawa G, Turko M, Clement PB (1989) Posthysterectomy carcinoma of the fallopian tube presenting as vaginal adenocarcinoma: a case report. Gynecol Oncol 33(3):382–385\nVercellini P, Frontino G, Pietropaolo G, Gattei U, Daguati R, Crosignani PG (2004) Deep endometriosis: definition, pathogenesis, and clinical management. J Am Assoc Gynecol Laparosc 11(2):153–161\nFatemi HM, Al-Turki HA, Papanikolaou EG, Kosmas L, De Sutter P, Devroey P (2005) Successful treatment of an aggressive recurrent post-menopausal endometriosis with an aromatase inhibitor. Reprod Biomed Online 11(4):455–457\nAydin Y, Atis A, Ercan E, Donmez M (2009) An endometriotic vault fistula presenting with monthly bleeding after hysterectomy. Arch Gynecol Obstet; 24 (Epub ahead of printing)\nConflict of interest statement\nNone.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nLyngdoh, B.T., Kriplani, A., Garg, P. et al. Post-hysterectomy menstruation: a rare phenomenon. Arch Gynecol Obstet 281, 307–309 (2010). https://doi.org/10.1007/s00404-009-1173-2\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-009-1173-2","source_license":"CC0","license_restricted":false}