Hematometra and extended vaginal haematoma after laser conization. A case report.
A very rare case of haematometra and extended vaginal haematoma in a 53-year-old woman after laser conization is reported. The patient presented with amenorrhea and complete urinary retention. The possible pathogenesis of this complication is discussed. Ultrasonography, combined with physical examination were very helpful in determining the diagnosis. Cervical dilation and protection of surrounding tissues from thermal damage is recommended during laser conization to avoid similar complications.
Giannacopoulos
K
K
Department of Gynecology, Laiko General Hospital, Athens, Greece.
Troukis
E
E
Constandinou
P
P
Rozis
I
I
Kokonakis
C
C
Giannikos
L
L
D002584:Cervix Uteri / Q000601:surgery*; D019092:Conization / Q000009:adverse effects* / Q000379:methods; D004107:Dilatation and Curettage; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006409:Hematometra / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D008875:Middle Aged; D016896:Treatment Outcome; D014463:Ultrasonography; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014623:Vaginal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002578:Uterine Cervical Dysplasia / Q000601:surgery