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Case 84 - A 45-Year-Old Woman with Watery Vaginal Discharge Six Weeks after Hysterectomy

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 45-year-old female, gravida 3, para 3, presents to the office for a postoperative visit complaining of watery vaginal discharge. She underwent a hysterectomy six weeks ago for abnormal uterine bleeding. Two weeks ago, she first noticed intermittent watery vaginal discharge, which has become persistent. She describes the discharge as yellow and sometimes blood tinged. She also reports pain in her vagina and an abnormal urinary stream. She denies dysuria, fevers, chills, nausea, or vomiting. She has regular bowel movements and denies hematochezia. She underwent a laparoscopic assisted vaginal hysterectomy with bilateral salpingectomy. The procedure was difficult due to dense adhesive disease in the vesicouterine space. She has not resumed sexual activity and plans on returning to work next week.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 257 - 259
Publisher: Cambridge University Press
Print publication year: 2021

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References

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