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Published online by Cambridge University Press: 19 November 2021
A 45-year-old woman, gravida 2, para 2, presents for preoperative consultation for hysterectomy. She has a long-standing history of abnormal uterine bleeding and has failed medical management with combined hormonal contraceptive pills and a levonorgestrel intrauterine device (IUD). She has completed childbearing and desires definitive surgical management with hysterectomy. Her family history is notable for breast cancer in her maternal grandmother. She denies history of abnormal Pap smears. She has no history of sexually transmitted infections. She has two prior spontaneous vaginal deliveries at term. Her medical history is significant for hypertension and she has no past surgical history. She is currently taking lisinopril and she has no known drug allergies.
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