Hematometra following laparoscopic resection of retrocervical and rectovaginal endometriosis

Kovoor E, Elias Kovoor, Elías Kovoor, Joseph Nassif, Ignacio Miranda-Mendoza, Emmanuelle Baulon, Baulon E, E. Baulon, Arnaud Wattiez
Fertility and sterility · 2010 · vol. 93(6) , pp. 2074.e11–2074.e12 · doi:10.1016/j.fertnstert.2009.10.033 · PMID:20074728 · W2135720108
article OA: bronze CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This paper describes a case of hematometra, a collection of blood in the uterus, occurring after laparoscopic surgery for endometriosis located behind the cervix and in the rectovaginal space.

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Abstract

ObjectiveTo report a case of hematometra following laparoscopic resection of rectovaginal endometriosis extending to the cervix.DesignCase report.SettingUniversity hospital.Patient(s)A 31-year-old woman with endometriosis and infertility.Intervention(s)Combined laparoscopic and vaginal surgery.Result(s)The cervix had retracted into the vaginal scar after surgery, preventing the escape of menstrual blood. The hematometra was drained, and the cervix was repositioned into the vagina with use of a combined vaginal and laparoscopic approach.Conclusion(s)Retraction of the cervix into the cul-de-sac can occur as a complication of excision of rectovaginal nodules that extend onto the posterior surface of the cervix. Excision of the posterior cervix should avoid deep excision of the posterior lip and should be limited only to the ectocervical margin to avoid such complications.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Hematometra Laparoscopy Rectal Diseases Uterine Diseases Adult Cervix Uteri Cervix Uteri Cervix Uteri Endometriosis Female Hematometra Humans Infertility, Female Infertility, Female Laparoscopy Postoperative Complications Postoperative Complications Rectal Diseases Rectal Diseases

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europepmc
last seen: 2026-09-13T09:25:22.628771+00:00
openalex
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pubmed
last seen: 2026-05-13T22:17:18.915199+00:00
License: CC0 · commercial use OK