Objective: Complications during laparoscopic surgery involving the bladder, bowel, and major vessels have been reported extensively. However, uterine manipulator-associated injuries are seldom reported.
Case report: We describe herein the case of a 28-year-old female patient who underwent a laparoscopic cystectomy 5 days after cervical conization, during which the uterine manipulator perforated the anterior cul-de-sac through the cervix. Fortunately, the wound healed with conservative treatment and no adverse consequences were found.
Conclusion: This case serves to highlight the potential for complications following seemingly benign maneuvers.