Uterine problems discovered after presumed hysterectomy: the Manchester operation revisited.

Uterine problems discovered after presumed hysterectomy: the Manchester operation revisited.

Hopkins M P; Devine J B; DeLancey J O

Obstetrics and gynecology

1997

1997-05

BACKGROUND: The Manchester operation consists of amputation of the cervix, leading some patients to believe that they have undergone a hysterectomy. CASES: A 69-year-old woman with vaginal discharge proved to have a well-differentiated adenocarcinoma in the retained uterine corpus. Another 69-year-old woman with a central fluid-filled pelvic mass proved to have a retained blood-filled corpus with an early-stage fallopian tube cancer. The third patient was a 90-year-old woman with symptoms of constipation and urinary frequency, who was found to have a large fluid-filled central mass. At surgery, the retained corpus was distended and filled with mucoid material. CONCLUSION: Patients who have undergone a Manchester operation may develop disease in the retained uterine corpus, which should be considered in the differential diagnosis of a pelvic mass.

*Hysterectomy; 80 and over; Aged; Amputation/*methods; Cervix Uteri/*surgery; Diagnosis; Differential; Female; Humans; Uterine Diseases/*diagnosis/surgery; Uterine Prolapse/*surgery

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