Female 54 years old Reason: vaginal cuff tenderness and drainage after TLH @ north shore History: vaginal drainage and vaginal cuff tenderness, exposed suture PELVIS:UTERUS, ADNEXA: Status post hysterectomy.There are postsurgical changes along the superior aspect of the vagina with some delayed enhancement of the vaginal cuff possibly due to granulation tissue. The superior aspect of the vagina area abuts the small bowel however, no discrete fistulous connection.BLADDER: Urinary bladder is unremarkable.LYMPH NODES: No pelvic or inguinal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Postsurgical changes in the lower abdominal wall.OTHER: No significant abnormality noted.
1.Postsurgical changes with granulation tissue along superior aspect of the vagina but no discrete fistulous connection or fluid collections.