Vaginal stump endometriosis following total laparoscopic hysterectomy: A case report

A 40-year-old G0P0 presented with uterine leiomyomas and underwent total laparoscopic hysterectomy bilateral salpingectomy for management of worsening hypermenorrhea. Intraperitoneal findings included an endometriotic lesion (approximately 1 cm) in the peritoneum Douglas pouch partial adhesion. The vaginal canal was incised, uterus transected removed after transvaginal morcellation. Histopathological examination resected specimen revealed leiomyoma without salpingeal abnormalities or lesions. patient observed monthly genital bleeding, 2 5 months postoperatively; however, no apparent clinical were detected. She experienced similar bleeding accompanied by periumbilical pain, 9 postoperatively. Colposcopy several red endometriosis-like lesions involving stump, diagnosed stump endometriosis. Oral dienogest administration initiated at 11 postoperatively continued as maintenance therapy, patient's symptoms nearly resolved later.