A 45-year-old woman was presented for laparoscopic supracervical hysterectomy (LSH) for large fibroid uterus. LSH of 1570 gm uterus was performed without difficulty with estimated blood loss of 100 cc. Bipolar cautery was applied to a depth of 5 mm in the remaining endocervix. She was discharged home the morning of postoperative day (POD) 1. Routine visit on POD 8 was unremarkable,no complaints. POD 14- self-limited episode of vaginal bleeding and a vaginal odor.
POD 15 revealed scant brown discharge. The cervix appeared closed and normal except for a 2 mm area of cautery effect at the 3-o’clock site in the transformation zone. There was no cervical motion tenderness. Clue cells were noted on wet mount Started on metronidazole. The patient called later that same evening with a slow continuous flow of vaginal bleeding. Upon arrival to the emergency room (ER), she began having heavy…
