Post-hysterectomy menstruation: a rare phenomenon

Basil Trench Lyngdoh, B.T. Lyngdoh, Alka Kriplani, Pradeep Garg, Deepa Maheshwari, Rajni Bansal
Archives of gynecology and obstetrics · 2009 · vol. 281(2) , pp. 307–309 · doi:10.1007/s00404-009-1173-2 · PMID:19585135 · W2029044013
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

This case report presents vault endometriosis as a rare cause of bleeding after hysterectomy, emphasizing its consideration in differential diagnoses.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This paper describes post-hysterectomy bleeding, a rare phenomenon, reviewing that such bleeding has varied causes including atrophic vaginitis, cervical stump cancer, infiltrating ovarian tumors, estrogen-secreting tumors elsewhere, bowel diverticulitis with fistula, and bladder pathology. It highlights that endometriosis of the vaginal vault can also cause post-menopausal bleeding and presents a rare case of vault endometriosis causing menstruation-like bleeding after hysterectomy. The main caveat is that the evidence presented is essentially descriptive and case-based rather than from a systematic study, limiting generalizability. Relevance to endometriosis: the authors explicitly discuss vault endometriosis as a differential diagnosis for bleeding after hysterectomy, stating it can cause post-menopausal bleeding, though the paper is chiefly a rare case report/phenomenon review rather than a broad endometriosis investigation.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hysterectomy Menstruation Endometriosis Endometriosis Female Histocytochemistry Humans Menstruation Middle Aged

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europepmc
last seen: 2026-06-20T06:14:18.781669+00:00
openalex
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License: CC0 · commercial use OK