Iatrogenic endometriosis caused by uterine morcellation during a supracervical hysterectomy.
BACKGROUND
Iatrogenic endometriosis is a rare complication associated with laparoscopic supracervical hysterectomy.


METHODS
A parous woman in her 30s underwent a laparoscopic supracervical hysterectomy for a leiomyomatous uterus. The uterus was amputated and removed from the abdominal cavity with an electric morcellator. She presented 6 months later complaining of cyclic pelvic pain. Diagnostic laparoscopy revealed endometrial implants in the pelvis. A laparoscopic trachelectomy, left salpingo-oophorectomy, and excision of endometrial implants was performed. She has since remained without symptoms.


CONCLUSIONS
Spillage and implantation of viable endometrial tissue might occur during uterine morcellation during laparoscopic supracervical hysterectomy. This case emphasizes the importance of minimizing spillage and vigorous irrigation of the abdomen and pelvis before closing the incisions.
Sepilian
Vicken
V
Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, Pennsylvania 19106, USA. vickenseplian@hotmail.com
Della Badia
Carl
C
D000328:Adult; D004715:Endometriosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects*; D007889:Leiomyoma / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery