A case of trocar site implantation of endometriosis three years after laparoscopic hysterectomy.

Lee, Ho Hyoung; Lim, Soyi; Shin, Jin Woo; Park, Chan Yong

doi:2012.55.4.290

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(4):290-292.
DOI: https://doi.org/10.5468/KJOG.2012.55.4.290 Published online April 17, 2012.

A case of trocar site implantation of endometriosis three years after laparoscopic hysterectomy.

Ho Hyoung Lee, Soyi Lim, Jin Woo Shin, Chan Yong Park

Department of Obstetrics and Gynecology, Gil Medical School, Gachon University of Medicine and Science, Incheon, Korea. soyilim@gmail.com

Abstract

We present the case of a 42-year-old woman who had undergone laparoscopic hysterectomy for uterine myoma three years prior to diagnosis with trocar site endometriosis. The patient was observed to suffer endometrial implant exclusively at the suprapubic trocar site. This case demonstrated that trocar site endometriosis can occur, even in a patient without a uterus and without previous endometriosis. The etiopathogenesis of this condition was likely attributed to the dissemination of endometrial tissue during laparoscopic surgery, resulting in subsequent microscopic endometriosis cell implantation in the trocar site.

Key Words: Endometriosis, Laparoscopy, Implantation