A case of ovarian endometriosis after laparoscopically assisted vaginal hysterectomy.

Kim, Ho Sung; Cho, Min Hyung; Noh, Ji Hyun; Koh, Jae Whoan; Kim, Yong Bong

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(9):1289-1293.
Published online September 1, 2007.

A case of ovarian endometriosis after laparoscopically assisted vaginal hysterectomy.

Ho Sung Kim, Min Hyung Cho, Ji Hyun Noh, Jae Whoan Koh, Yong Bong Kim

Department of Obstetrics & Gynecology, College of Medicine, Inje University, Paik Hospital, Seoul, Korea. kimyb2@unitel.co.kr

Abstract

Endometriosis is defined as the presence of endometrial tissue outside the uterus and located usually within the pelvis. It may be detected as a rare complication associated with surgery. Endometriosis following obstetric and gynecologic procedure, which is localized mostly in the surgical scar including Cesarean section scar, hysterotomy scar, trocar scar, Bartholin cyst exision scar, or episiotomy scar, may caused by implantation of endometrial gland and stroma. Endometriosis developing after hysterectomy, especially, is a quite rare condition except a recurrent disease. We have experienced a case of a 47-year-old woman who had diagnosed ovarian endometriosis two years after laparoscopically assisted vaginal hysterectomy for a large leiomyomatous uterus with no evidence of endometriosis, so we report this case with a brief review of literature.

Key Words: Endometriosis, Hysterectomy