A case of a uterine manipulator sutured to endometrium during laparoscopic myomectomy

We report a case of laparoscopic myomectomy in which the uterine manipulator was sutured into the endometrium. A 37 year old woman underwent a laparoscopic myomectomy after 3 injections of leuprolide acetate over 12 weeks. During the operation, we used a uterine manipulator, which is useful for resection of the myoma and for suturing the myometrium. When we finished the operation, we discovered that we had sutured the top of the uterine manipulator to the endometrium and left it inside the uterus. The sutures were absorbable, so we decided to await expulsion of the manipulator after natural dissolution of the sutures. At 135 days after the operation, we confirmed that the manipulator had been expelled from the uterine cavity.