Case Report


Robotic hysterectomy for the treatment of refractory menometrorrhagia and squamous endometrial morules: A case report

,  ,  

1 Alabama College of Osteopathic Medicine, 445 Health Sciences Blvd, Dothan, AL 36303, USA

2 Department of Obstetrics and Gynecology, Huntsville Hospital, 101 Sivley Road SW, Huntsville, AL 35801, USA

Address correspondence to:

Emma M Schnittka

Gates Mill St. NW, Huntsville, AL 35805,

USA

Message to Corresponding Author


Article ID: 100128Z08ES2022

doi: 10.5348/100128Z08ES2022CR

Access full text article on other devices

Access PDF of article on other devices

How to cite this article

Schnittka EM, Lanpher NW, Sylvester J. Robotic hysterectomy for the treatment of refractory menometrorrhagia and squamous endometrial morules: A case report. J Case Rep Images Obstet Gynecol 2022;8(2):21–24.

ABSTRACT


Introduction: Abnormal uterine bleeding (AUB) is a common presentation in the field of gynecology. Proper diagnosis and management of this condition can be difficult and permanent treatment options, including robotic hysterectomy, may be necessary. In patients with a history of previous abdominal surgery, pelvic adhesions may present obstacles to this surgical approach.

Case Report: In this case report, a 41-year-old woman desired permanent treatment for AUB. The patient underwent endometrial biopsy which revealed inexplicit squamous morules. She opted for permanent treatment via robotic hysterectomy. Her operation was complicated by the presence of dense pelvic adhesions caused by previous surgeries.

Conclusion: This report aims to detail the potential difficulties in the clinical management of inconclusive biopsy results and in using a robotic approach to hysterectomy in the setting of pelvic adhesions. Authors encourage ongoing clinical investigation to determine the optimal methods for diagnosing and treating AUB.

Keywords: Abnormal uterine bleeding, Case report, Robotic hysterectomy, Squamous morules

SUPPORTING INFORMATION


Author Contributions

Emma M Schnittka - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Nick W Lanpher - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Jacqueline Sylvester - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2022 Emma M Schnittka et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.