Iatrogenic Endometriosis Caused by Uterine Morcellation During a Supracervical Hysterectomy
Case report
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⤵ 9 in-corpus citations
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A laparoscopic supracervical hysterectomy with uterine morcellation led to iatrogenic endometriosis in a patient, highlighting the risk of endometrial tissue spillage and implantation.
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Abstract
BACKGROUND Iatrogenic endometriosis is a rare complication associated with laparoscopic supracervical hysterectomy. CASE A parous woman in her 30s underwent a laparoscopic supracervical hysterectomy for a leiomyomatous uterus. The uterus was amputated and removed from the abdominal cavity with an electric morcellator. She presented 6 months later complaining of cyclic pelvic pain. Diagnostic laparoscopy revealed endometrial implants in the pelvis. A laparoscopic trachelectomy, left salpingo-oophorectomy, and excision of endometrial implants was performed. She has since remained without symptoms. CONCLUSION Spillage and implantation of viable endometrial tissue might occur during uterine morcellation during laparoscopic supracervical hysterectomy. This case emphasizes the importance of minimizing spillage and vigorous irrigation of the abdomen and pelvis before closing the incisions.
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References (7)
- Endometriosis in 1,000 consecutive celiotomies: incidence and management via openalex
- Further studies on experimental endometriosis via openalex
- Iatrogenic Endometriosis via openalex
- Implantation endometrioma at port site after laparoscopic abdominal supracervical hysterectomy via openalex
- Umbilical endometriosis after unprotected removal of uterine pieces through the umbilicus via openalex
- W2343074999 via openalex
- W2004615461 via openalex
Cited by (9)
- Advances in the medical treatment of adolescent endometriosis 2021
- Nonmalignant Sequelae of Unconfined Morcellation at Laparoscopic Hysterectomy or Myomectomy 2016
- Complications in Laparoscopic Supracervical Hysterectomy(LASH), especially the morcellation related 2015
- De Novo Endometrial Implant Into the Colon After Uterine Morcellation 2014
- Progression of pelvic implants to complex atypical endometrial hyperplasia after uterine morcellation 2011
- Large abdominal wall endometrioma following laparoscopic hysterectomy 2011
- Pathogenesis of benign metastasizing leiomyoma: a review 2010
- An unexpected presentation of endometriosis--a "parasitic" cyst of the bowel in a menopausal woman on hormone therapy 2008
- The link between environmental toxicant exposure and endometriosis 2007
Source provenance
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- unpaywall
- last seen: 2026-10-16T06:24:35.758740+00:00
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