Background: Hematometra is a uterine blood collection that is pathological. It's a rare disorder caused by a congenital or acquired
structural blockage of the cervical canal. Acquired cervical stenosis may be caused by surgical operations performed on the uterus
or cervix. Amenorrhea or dysmenorrhea, as well as pelvic pain or irritation, urinary frequency and retention, all are prevalent signs
of this illness in premenopausal women. We present a case of hematometra caused by laparoscopic myomectomy done for cervical
and posterior wall fibroid. Case description: A 39 years old female with para two, live two with previous two lower segment
caesarean section and laparoscopic myomectomy done 3 years back, presented with chief complaints of abdominal pain (on and off)
since 3 years which increased since 3-4 days and burning micturition since one week associated with vulval itching since 3-4 days.
Investigations like CECT and MRI were done which revealed residual uterus with irregular defect in posterior myometrium,
narrowing of cervico-vaginal canal. Using transvaginal sonography a needle with guide wire was introduced through the cervix
into the uterine cavity, about 30cc of hematometra was drained. Conclusion: The rare likelihood of hematometra should be examined
in any woman who presents with acute abdominal discomfort, especially if the pain is related to uterus and cervix surgical
procedures.
Keywords: Hematometra, Abdominal pain, previous surgical procedures,
narrowing of cervico-vaginal canal