A case of secondary amenorrhea caused by uterine myoma successfully treated by a combined laparoscopic and hysteroscopic approach Kyoko Shirota, Hiroko.

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A case of secondary amenorrhea caused by uterine myoma successfully treated by a combined laparoscopic and hysteroscopic approach Kyoko Shirota, Hiroko Itoh, Haruchika Anan, Shimpei Natsuaki, Daisuke Miyahara, Yoko Takahashi, Fusanori Yotsumoto, Shingo Miyamoto Gynecology and Minimally Invasive Therapy Volume 6, Issue 1, Pages 49-50 (February 2017) DOI: 10.1016/j.gmit.2016.08.004 Copyright © 2016 Terms and Conditions

Figure 1 (A) Ultrasound image before surgery. Black arrowheads indicate the solid mass (20 mm × 23 mm) at the foot of the cesarean section scar (white arrow). (B) Preoperative sagittal T2-weighted magnetic resonance image. Gynecology and Minimally Invasive Therapy 2017 6, 49-50DOI: (10.1016/j.gmit.2016.08.004) Copyright © 2016 Terms and Conditions

Figure 2 Blood pooling and endometriotic lesions were observed by laparoscopy in Morrison's pouch (A) and pelvic cavity (B). (C) Laparoscopic view after the endometriotic lesions were vaporized using argon plasma. Hysteroscopic view of the myoma destroyed by cervical dilation (D) and the myoma was resected (E). (F) Histology of the pathological specimen shows a typical leiomyoma composed of intersecting fascicles of slender smooth muscle cells (hematoxylin and eosin stain, 100×). (G) Ultrasound image after surgery. Gynecology and Minimally Invasive Therapy 2017 6, 49-50DOI: (10.1016/j.gmit.2016.08.004) Copyright © 2016 Terms and Conditions