Publication:

An interesting case of post hysterectomy vaginal bleeding

Post hysterectomy vaginal bleeding is a very rare problem, particularly in women in whom the cervix has been removed with a reported incidence of 0.2-2%. It is very distressing for the women who has had hysterectomy in particular for abnormal uterine bleeding as she expects the bleeding problem to have been completely resolved after the procedure.We reported a case of a 34 year old women who underwent total abdominal hysterectomy and a left sided salpingo-oopherectomy for uterine fibroids and an ovarian cyst who presented with persistent vaginal spotting for 1 year following the surgery. During surgery it was found that the fimbrial end of the right fallopian tube was adherent to the vaginal vault that apparently periodically bled through a small rent in the vault. She was also found to have a small cyst in the right ovary.