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This 44-year-old nulliparous female patient had suffered from lower abdominal pain and urinary frequency for the past month. Ultrasound and CT showed two uteri myoma about 6.5 cm and 4 cm in size and an adnexal cystic lesion around 9 cm in size. She received several pelvic surgeries previously including abdominal myomectomy, laparoscopic left cystectomy and failed abdominal hysterectomy due to severe pelvic adhesion. Her symptoms persisted and, after seeking multiple consultations with different gynecologists, she was not suggested to have repeat surgery. Finally, she went to our hospital for robotic total hysterectomy surgery and it was performed successfully.
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