IMR Press / EJGO / Volume 42 / Issue 1 / DOI: 10.31083/j.ejgo.2021.01.2256
Open Access Case Report
Cesarean scar perforation in laparoscopic hysterectomy for endometrial cancer: a case report
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1 Department of Obstetrics and Gynaecology, Saitama Medical Center, The Jichi Medical University, 1-847, Amanuma-Cho, Omiya-Ku, 330-8503 Saitama, Japan
Eur. J. Gynaecol. Oncol. 2021 , 42(1), 179–182;
Submitted: 24 September 2020 | Revised: 12 November 2020 | Accepted: 18 November 2020 | Published: 15 February 2021

Perioperative complications tend to increase when performing hysterectomy in patients with a history of caesarean section. Therefore, the laparoscopic hysterectomy procedure requires careful consideration. Herein, we report the case of a patient with a history of caesarean section who underwent total laparoscopic hysterectomy for endometrial cancer. A 59-year-old woman was diagnosed with stage IA endometrial cancer preoperatively, and she underwent laparoscopic hysterectomy, bilateral adnexectomy, and pelvic lymphadenectomy. During these procedures, the bladder was observed to tightly adhere to the scar of a previous caesarean section, and the uterine was perforated due to detachment near the uterus to avoid damage to the bladder. After 2 years, there were no symptoms of recurrence. Our findings further demonstrated that bladder adhesions should be considered in laparoscopic surgery for patients with endometrial cancer who have a history of caesarean section.

Endometrial cancer
Caesarean section
Fig. 1.
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