Abstract | RATIONALE: PATIENT CONCERNS: DIAGNOSES: She had undergone a laparoscopic supracervical hysterectomy 7 years earlier to address uterine myoma and adenomyosis. Just 1 month posthysterectomy, a pelvic ultrasound revealed the presence of a cervical stump measuring approximately 4.0 × 4.0 cm. Subsequent follow-up ultrasounds documented the gradual growth of the cervical mass. Two years ago, a recurrent myoma was identified, and the patient experienced intermittent vaginal bleeding. Over 7 years, the cervical mass increased from 4 to 7 cm. Preadmission pelvic ultrasonography confirmed the existence of cervical adenomyoma measuring 7 × 6 cm. INTERVENTIONS: Consequently, the patient underwent a laparoscopic trachelectomy. Intraoperatively, an enlarged cervix, approximately 7 × 6 cm in size, containing adenomyoma was observed. A gross examination of the specimen indicated hypertrophic muscle tissue and hemorrhagic foci. Subsequent histopathological examination confirmed the presence of adenomyoma. OUTCOMES: Remarkably, the patient exhibited no recurrence over the subsequent 8 months. LESSONS: The case presented here highlights the potential occurrence of cervical adenomyoma following a supracervical hysterectomy. Management options include hormone therapy and surgical excision. Furthermore, annual follow-up comprising ultrasound and pap smear evaluations is recommended for patients with supracervical hysterectomies to detect and address possible recurrences.
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Authors | Chin-Tzu Tien, Dah-Ching Ding |
Journal | Medicine
(Medicine (Baltimore))
Vol. 102
Issue 46
Pg. e36089
(Nov 17 2023)
ISSN: 1536-5964 [Electronic] United States |
PMID | 37986313
(Publication Type: Review, Case Reports, Journal Article)
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Copyright | Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. |
Topics |
- Female
- Humans
- Middle Aged
- Adenomyosis
(surgery)
- Adenomyoma
(surgery)
- Quality of Life
- Hysterectomy
- Laparoscopy
- Leiomyoma
(surgery)
- Uterine Hemorrhage
(surgery)
- Uterine Cervical Neoplasms
(surgery)
- Myoma
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