Progression of Pelvic Implants to Complex Atypical Endometrial Hyperplasia After Uterine Morcellation

Lisa M Kill, Vasilis Kapetanakis, Ann E McCullough, Javier F Magrina
Obstetrics and gynecology · 2011 · vol. 117(2) , pp. 447–449 · doi:10.1097/aog.0b013e3181f2e0c6 · PMID:21252784 · W2329544695
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This case report describes a patient who developed complex atypical endometrial hyperplasia in a peritoneal implant seven years after a supracervical hysterectomy with uterine morcellation.

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Abstract

BACKGROUND: Supracervical hysterectomy, a surgical technique that involves removal of the uterus while preserving the cervix, places women at an increased risk for future morbidity. CASE: The patient presented 7 years after laparoscopic supracervical hysterectomy for benign disease, with pelvic pain, urinary frequency, abdominal bloating, and tenderness. Surgical exploration revealed myometrial implants, along with a larger mass on the mesentery of the sigmoid composed of endometrium with complex atypical hyperplasia in a patient without a prior history of complex atypical hyperplasia. The patient was symptom-free 6 months postoperatively. CONCLUSION: Histology found during reoperation after laparoscopic supracervical hysterectomy includes endometriosis, residual endometrium, and leiomyomas. In this case, a woman with no prior history of endometrial atypia later developed complex adenomatous endometrial hyperplasia in a peritoneal implant. This finding adds to the list of possible complications after laparoscopic-assisted supracervical hysterectomy and uterine morcellation.

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Condition tags

endometriosis

MeSH descriptors

Endometrial Hyperplasia Endometrial Hyperplasia Endometriosis Endometriosis Hysterectomy Prostheses and Implants Endometrial Hyperplasia Endometrial Hyperplasia Endometriosis Endometriosis Female Humans Hysterectomy Leiomyoma Leiomyoma Middle Aged Prostheses and Implants Treatment Outcome Uterine Neoplasms Uterine Neoplasms

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