Hysteroscopy - Fibroids
Symptoms
A 39 year old woman presented for a second opinion. She was experiencing torrential and irregular bleeding. She also complained of left pelvic pain.
Diagnosis
A laparoscopy 12 months prior had revealed endometriosis which was cauterised. Hysteroscopy had been reported normal.
Procedure
She subsequently underwent hysteroscopy which revealed a large submucosal fibroid. This was resected hysteroscopically. The specimen weighed 36.3g. Laparoscopy revealed endometriosis of the left side wall and left utero-sacral ligament in the area of the left ureter. This was carefully excised.
Outcome
She made an excellent recovery with resolution of pain and bleeding.
