Possibility and Prevention of Iatrogenic Blind - Ending Uterine Corpus Occurring after Myomectomy

Hwa Sook Moon, Jaseong Koo, Hyeyoung Lee, Bo Sun Joo, Tae Kyoung Kang and Gyeong Il Nam

Department of Obstetrics and Gynecology, Center for Minimally Invasive Surgery and Treatment, Good Moonhwa
Hospital, Korea
Infertility Research Institute, Pohang Women’s Hospital, Pohang, Kyungsangbuk-do, Korea

^*Correspondance to: Hwa Sook Moon 

 PDF  Full Text DOI: 10.25107/2474-1647.2075

Abstract

No case of uterine corpus separation from the cervix following myomectomy has been reported. This report introduces a case of possibility and prevention of iatrogenic blind-ending uterine corpus occurring after secondary myomectomy amenorrhea resulting from iatrogenic separation of the uterine corpus from the cervix following myomectomy. A nulligravida presented with complaints of serious cyclic pelvic pain and secondary amenorrhea. She previously underwent open myomectomy and enucleation of ovarian endometriotic cyst 17 months before at another hospital. Ultrasonography and pelvic magnetic resonance imaging revealed a complete separation of the uterine corpus from the cervix. Laparoscopic finding showed severe adhesion between uterine fundus and bladder, left round ligament and sigmoid colon, and the space between uterine corpus and cervix had been replaced with soft tissue, showing complete loss of continuity between the uterine fundus and cervix. A parasitic myoma on the mesentery and ovarian endometriotic cyst were found. We report a blind uterine corpus as a serious complication of myomectomy.

Keywords

Myomectomy; Secondary amenorrhea; Blind uterine corpus

Cite the article

Moon HS, Koo J, Lee H, Joo BS, Kang TK, Nam G Il. Possibility and Prevention of Iatrogenic Blind - Ending Uterine Corpus Occurring after Myomectomy. Clin Surg. 2018; 3: 2075.