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Open Access Special Issue

Cesarean scar perforation in laparoscopic hysterectomy for endometrial cancer: a case report

  • Azusa Kimura1
  • Kenro Chikazawa1,*,
  • Ken Imai1
  • Ito Takaki1
  • Tomoyuki Kuwata1
  • Ryo Konno1

1Department of Obstetrics and Gynaecology, Saitama Medical Center, The Jichi Medical University, 1-847, Amanuma-Cho, Omiya-Ku, 330-8503 Saitama, Japan

DOI: 10.31083/j.ejgo.2021.01.2256 Vol.42,Issue 1,February 2021 pp.179-182

Submitted: 24 September 2020 Accepted: 18 November 2020

Published: 15 February 2021

(This article belongs to the Special Issue Minimally Invasive Surgery in Gynecologic Oncology)

*Corresponding Author(s): Kenro Chikazawa E-mail:


Perioperative complications tend to increase when performing hysterectomy in patients with a history of caesarean section. Therefore, the laparoscopic hysterectomy procedure requires careful consideration. Herein, we report the case of a patient with a history of caesarean section who underwent total laparoscopic hysterectomy for endometrial cancer. A 59-year-old woman was diagnosed with stage IA endometrial cancer preoperatively, and she underwent laparoscopic hysterectomy, bilateral adnexectomy, and pelvic lymphadenectomy. During these procedures, the bladder was observed to tightly adhere to the scar of a previous caesarean section, and the uterine was perforated due to detachment near the uterus to avoid damage to the bladder. After 2 years, there were no symptoms of recurrence. Our findings further demonstrated that bladder adhesions should be considered in laparoscopic surgery for patients with endometrial cancer who have a history of caesarean section.


Endometrial cancer; Laparoscopy; Caesarean section

Cite and Share

Azusa Kimura,Kenro Chikazawa,Ken Imai,Ito Takaki,Tomoyuki Kuwata,Ryo Konno. Cesarean scar perforation in laparoscopic hysterectomy for endometrial cancer: a case report. European Journal of Gynaecological Oncology. 2021. 42(1);179-182.


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