Removal of Pelvic Leiomyomata and Endometriosis Five Years After Supracervical Hysterectomy

Hilger WS, Wesley S. Hilger, Javier F. Magrina, Magrina JF
Obstetrics and gynecology · 2006 · vol. 108(3) , pp. 772–774 · doi:10.1097/01.aog.0000209187.90019.d3 · PMID:17018497 · W2066539075
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

A patient developed symptomatic pelvic leiomyomata and endometriosis five years after laparoscopic supracervical hysterectomy due to morcellation-related tissue seeding.

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This case report describes a patient who developed pelvic pain and a mass five years after undergoing a laparoscopic supracervical hysterectomy with morcellation. Surgical exploration identified multiple leiomyomata, adenomyosis, and endometriosis within the retained cervical stump and surrounding pelvic tissues. The authors attribute these findings to the potential seeding of morcellated uterine tissue during the initial procedure, highlighting it as a rare but serious complication. Surgeons are advised to implement measures to prevent such seeding and remain vigilant for this outcome in postoperative follow-up. This paper is centrally about endometriosis — specifically, its development as a complication following surgical morcellation during supracervical hysterectomy.

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Abstract

In Brief BACKGROUND: The number of laparoscopic supracervical hysterectomies performed has increased, yet the benefits and consequences are not well understood. CASE: The patient presented 5 years after a laparoscopic supracervical hysterectomy with pelvic pain, an elevated CA 125 level, and a pelvic mass. Surgical exploration revealed multiple leiomyomata with adenomyosis and endometriosis. CONCLUSION: After a laparoscopic supracervical hysterectomy, pelvic seeding of morcellated uterine tissue may lead to symptomatic pelvic leiomyomata and endometriosis requiring further surgery. Surgeons performing laparoscopic supracervical hysterectomies should take measures to prevent pelvic seeding at the time of morcellation and recognize the complication when it occurs. Morcellation of the uterus after laparoscopic supracervical hysterectomy may lead to symptomatic pelvic leiomyomata and endometriosis requiring further surgery.
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Background

The number of laparoscopic supracervical hysterectomies performed has increased, yet the benefits and consequences are not well understood. CASE: The patient presented 5 years after a laparoscopic supracervical hysterectomy with pelvic pain, an elevated CA 125 level, and a pelvic mass. Surgical exploration revealed multiple leiomyomata with adenomyosis and endometriosis.

Conclusion

After a laparoscopic supracervical hysterectomy, pelvic seeding of morcellated uterine tissue may lead to symptomatic pelvic leiomyomata and endometriosis requiring further surgery. Surgeons performing laparoscopic supracervical hysterectomies should take measures to prevent pelvic seeding at the time of morcellation and recognize the complication when it occurs. Morcellation of the uterus after laparoscopic supracervical hysterectomy may lead to symptomatic pelvic leiomyomata and endometriosis requiring further surgery. Copyright © 2006 by The American College of Obstetricians and Gynecologists.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Hysterectomy Laparoscopy Leiomyomatosis Neoplasm Seeding Pelvic Neoplasms Adult CA-125 Antigen CA-125 Antigen Endometriosis Endometriosis Female Humans Hysterectomy Hysterectomy Laparoscopy Leiomyomatosis Leiomyomatosis Pelvic Neoplasms Pelvic Neoplasms

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