Hematometra following laparoscopic resection of retrocervical and rectovaginal endometriosis.
OBJECTIVE
To report a case of hematometra following laparoscopic resection of rectovaginal endometriosis extending to the cervix.


METHODS
Case report.


METHODS
University hospital.


METHODS
A 31-year-old woman with endometriosis and infertility.


METHODS
Combined laparoscopic and vaginal surgery.


RESULTS
The cervix had retracted into the vaginal scar after surgery, preventing the escape of menstrual blood. The hematometra was drained, and the cervix was repositioned into the vagina with use of a combined vaginal and laparoscopic approach.


CONCLUSIONS
Retraction of the cervix into the cul-de-sac can occur as a complication of excision of rectovaginal nodules that extend onto the posterior surface of the cervix. Excision of the posterior cervix should avoid deep excision of the posterior lip and should be limited only to the ectocervical margin to avoid such complications.
Kovoor
Elias
E
Institut de Recherche Contre les Cancers de l'Appareil Digestif (IRCAD) and University Hospitals Strasbourg, Strasbourg, France. kovoeli@gmail.com
Nassif
Joseph
J
Miranda-Mendoza
Ignacio
I
Baulon
Emmanuelle
E
Wattiez
Arnaud
A
D000328:Adult; D002584:Cervix Uteri / Q000473:pathology / Q000601:surgery; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006409:Hematometra / Q000209:etiology*; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology; D012002:Rectal Diseases / Q000175:diagnosis / Q000601:surgery*; D012007:Rectum / Q000473:pathology / Q000601:surgery; D014591:Uterine Diseases / Q000175:diagnosis / Q000601:surgery*; D014621:Vagina / Q000473:pathology / Q000601:surgery