Department of Endoscopic Surgery, Beams Hospital, Mumbai, India.
J Minim Invasive Gynecol. 2010 Jan-Feb;17(1):94-6. doi: 10.1016/j.jmig.2009.09.004.
We report a case of retained uterine fundus after vaginal hysterectomy that was subsequently removed at laparoscopy. The patient had undergone vaginal hysterectomy 8 years previously and came to our hospital with abdominal pain. Examination revealed a supravesical mass. Laparoscopy was performed and showed the uterine fundus with its cornual attachments. The mass was excised and sent for histopathologic analysis, which confirmed that it was uterine tissue. Retained uterine tissue or myoma tissue has been reported, usually after morcellation. However, to our knowledge, our case is only the second reported case of retained fundus after complete vaginal hysterectomy. Because of adhesions, it is possible that the uterus was not completely removed. In such cases, laparoscopic assistance is extremely useful.
我们报告了一例阴道子宫切除术后子宫底残留的病例，随后通过腹腔镜切除。该患者 8 年前接受了阴道子宫切除术，因腹痛来我院就诊。检查发现上腹部有一肿块。腹腔镜检查显示子宫底及其角部附着处。切除肿块并送病理分析，证实为子宫组织。报道了残留的子宫组织或肌瘤组织，通常在切碎后。然而，据我们所知，我们的病例是第二次报道的完全阴道子宫切除术后残留子宫底的病例。由于粘连，子宫可能没有完全切除。在这种情况下，腹腔镜辅助非常有用。
