Incidental uterine artery transection at operative hysteroscopy

Background: Uterine perforation and false passage are occasional complications of operative hysteroscopy. Case Report: A 76-year-old woman underwent an operative hysteroscopy owing to postmenopausal bleeding and suspicious ultrasonographic intracavitary findings. A false passage through the wall of the cervix, created by the cervical dilators, was apparent upon the introduction of the hysteroscope. Bipolar coagulation employed to arrest bleedings led to the transection of the uterine artery. As no further bleeding ensued, the procedure was completed by resecting an endometrial polyp. Conclusions: Inadvertent injury to the uterine artery may further complicate false passage or perforation at hysteroscopy, underscoring the cautious usage of electocautery.