title: Traumatic Neuroma After Hysterectomy and Bilateral Salpingo-Oophorectomy: A Rare Cause of Post Hysterectomy Pelvic Pain.
abstract: The cause of posthysterectomy pain is frequently undiagnosed, and a presumed diagnosis of adhesions is made. Surgical division of adhesions often fails to alleviate the pain. As a result, posthysterectomy pain is seldom investigated despite being associated with a significant deterioration in the quality of life. We report a case of posthysterectomy bilateral neuroma of the autonomic nerves to the ovary that leads to significant pelvic pain. Excision of these neuromas resulted in complete resolution of pelvic pain and significant improvement in the quality of life. This interesting observation does not support the widespread use of laparoscopy for posthysterectomy pain but should be considered in patients with pain that occurs at an interval after hysterectomy who have had no pelvic pain preceding the hysterectomy.
authors.affiliation: Department of Gynecological Oncology, University of Bristol, Bristol, United Kindom. Electronic address: vivek.nama@bristol.ac.uk.
authors.forename: Vivek
authors.initials: V
authors.lastname: Nama
authors.affiliation: Department of Gynecological Oncology, University of Bristol, Bristol, United Kindom.
authors.forename: Amit
authors.initials: A
authors.lastname: Patel
authors.affiliation: Department of Gynecological Oncology, University of Bristol, Bristol, United Kindom.
authors.forename: Joya
authors.initials: J
authors.lastname: Pawade
authors.affiliation: Department of Gynecological Oncology, University of Bristol, Bristol, United Kindom.
authors.forename: John
authors.initials: J
authors.lastname: Murdoch
mesh_terms: D001342:Autonomic Nervous System Diseases / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007049:Iatrogenic Disease; D008875:Middle Aged; D009463:Neuroma / Q000150:complications / Q000175:diagnosis*; D010052:Ovariectomy; D010149:Postoperative Pain / Q000209:etiology; D017699:Pelvic Pain / Q000209:etiology
keywords: Hysterectomy; Pelvic pain; Traumatic neuroma