Uterine problems discovered after presumed hysterectomy: the Manchester operation revisited.
BACKGROUND
The Manchester operation consists of amputation of the cervix, leading some patients to believe that they have undergone a hysterectomy.


METHODS
A 69-year-old woman with vaginal discharge proved to have a well-differentiated adenocarcinoma in the retained uterine corpus. Another 69-year-old woman with a central fluid-filled pelvic mass proved to have a retained blood-filled corpus with an early-stage fallopian tube cancer. The third patient was a 90-year-old woman with symptoms of constipation and urinary frequency, who was found to have a large fluid-filled central mass. At surgery, the retained corpus was distended and filled with mucoid material.


CONCLUSIONS
Patients who have undergone a Manchester operation may develop disease in the retained uterine corpus, which should be considered in the differential diagnosis of a pelvic mass.
Hopkins
M P
MP
Department of Obstetrics and Gynecology, Northeastern Ohio Universities College of Medicine, Akron, USA.
Devine
J B
JB
DeLancey
J O
JO
D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods*; D002584:Cervix Uteri / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007044:Hysterectomy; D014591:Uterine Diseases / Q000175:diagnosis* / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery*