\n\tIatrogenic Endometriosis after Laparoscopic Hysterectomy with Vaginal Power Morcellation: A Case Report

\n\tNew-onset endometriosis is a very rare complication after a laparoscopic hysterectomy. The use of power morcellation systems may contribute to the development of this condition associated with the spread of endometrial tissue in the peritoneal cavity. We report the case of a 41-year-old woman with symptomatic multiple leiomyomas who underwent laparoscopic hysterectomy with vaginal power morcellation to remove the specimen. Four months after the procedure, she started complaining of cyclic bleeding and pain and subcutaneous and vaginal vault nodules appeared. Ultrasonography and magnetic resonance images revealed subcutaneous and vaginal vault endometriosis not present previously.Even though there are several potential explanations for this case, we hypothesize that the spread of endometrial tissue in the pelvis during the electromechanical morcellation procedure triggered the appearance of multiple subcutaneous and pelvic endometriosis nodules.