Endometriotic Vaginal Vault Nodule Causing Posthysterectomy Vaginal Bleeding

A 41-year-old woman presented to our clinic with left-sided lower abdominal pain and irregular episodes of reddish-brown vaginal discharge at 6  months after undergoing total laparoscopic hysterectomy with bilateral salpingo-oopherectomy for severe pelvic endometriosis with bilateral ovarian endometriomas. The bleeding was irregular and unpredictable, and there was no monthly pattern. Her medical history disclosed 2 previous caesarean sect ion deliveries. Abdominal examination was unremarkable. Speculum examination revealed a blackish-brown discharge at the vaginal vault and a minimal amount of granulation-appearing tissue at the vault.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecologic Surgery Source Type: research