Volume 26, Issue 124, June 2022

A rare case of hematometra secondary to cervical stenosis following laparoscopic myomectomy: A case report

Eleti Manila Reddy¹, Manjusha Agrawal^2♦, Deepika Dewani³, Nidhi Goyal¹

¹Post Graduate Resident, Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences and Research (Deemed to be university), Maharastra, India
²Professor, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences and Research (Deemed to be university), Maharastra, India
³Associate Professor, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences and Research (Deemed to be university), Maharastra, India

^♦Corresponding author
Professor, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences and Research (Deemed to be university), Maharastra, India

ABSTRACT

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

Medical Science, 2022, 26, ms208e2291

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DOI: https://doi.org/10.54905/disssi/v26i124/ms208e2291

Published: 05 June 2022