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Case 74 - A 50-Year-Old Woman with Bleeding with Intercourse Four Weeks after Robotic Hysterectomy

Published online by Cambridge University Press:  19 November 2021

By
Stephen M. Wagner
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 50-year-old gravida 2, para 1 presents to the emergency department with vaginal bleeding. She underwent a robotic-assisted total laparoscopic hysterectomy with bilateral salpingectomy and cystoscopy 29 days ago for symptomatic uterine fibroids. The patient reports experiencing a “popping” sensation during her first episode of intercourse following surgery. Subsequently she developed 8/10 abdominal pain, vaginal bleeding, and vaginal pressure. She has no past medical history. Her past surgical history is significant for hysterectomy and bilateral salpingectomy. Her social history is significant for 20 pack-year history of tobacco use. She is not taking any medications and has no allergies.

Keywords

cuff dehiscencepost-surgicalevisceration
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 225 - 227
Publisher: Cambridge University Press
Print publication year: 2021

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References

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