Uterine fibroids are most common benign uterine neoplasm occurring in 20-30% of reproductive age. Generally, the sonographic appearance of leiomyomas is characteristic; however, they can undergo various kind of degenerations that can dramatically change their sonographic appearance and make the diagnosis quite challenging. We hereby describe a case report of 31-year-old women who presented with menorrhagia and dysmenorrhoea and her imaging with an ultrasound revealed an uterine myoma that undergone cystic changes, mimicking myometrial cyst, adenomyosis, hematometra. Laparoscopic myomectomy was done and histopathological examination revealed cystic degeneration of fibroid.

Vaginal cuff dehiscence is a rare postoperative complication following total laparoscopic hysterectomy. Timely recognition and surgical repair is essential for successful management. A 39 year old female, para2 live2, presented with symptoms of watery vaginal discharge and vague pelvic pain associated with sexual activity, three months after total laparoscopic hysterectomy. Per speculum examination revealed a 3 cm rent in vaginal cuff without any evidence of bowel evisceration. Diagnostic laparoscopic assessment along with vaginal cuff repair done. The incidence of vaginal cuff dehiscence after total laparoscopic hysterectomy may be attributed to over use of electrocautery, prolonged inflammatory response, and suturing techniques. Abdominal, vaginal and laparoscopic approaches are the routes for repairing vaginal cuff dehiscence. However, it depends on clinical presentation and surgeon’s expertise. Careful history and examination guides the clinician to arrive at correct diagnosis and knowledge of appropriate medical and surgical interventions are of paramount importance for treatment of vaginal cuff dehiscence.